Provider Demographics
NPI:1568596393
Name:CONROY, GERALDINE ANNE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:GERALDINE
Middle Name:ANNE
Last Name:CONROY
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 1:570 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1924
Mailing Address - Country:US
Mailing Address - Phone:917-647-4969
Mailing Address - Fax:
Practice Address - Street 1:570 N BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1924
Practice Address - Country:US
Practice Address - Phone:917-647-4969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044150183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist