Provider Demographics
NPI:1538464243
Name:PRESTA, ANNEMARIE ELIZABETH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANNEMARIE
Middle Name:ELIZABETH
Last Name:PRESTA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-3117
Mailing Address - Country:US
Mailing Address - Phone:914-793-3766
Mailing Address - Fax:
Practice Address - Street 1:1070 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-3268
Practice Address - Country:US
Practice Address - Phone:718-542-7955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039614183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist