Provider Demographics
NPI:1578072690
Name:CINQUE, ALYSSA MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:MARIE
Last Name:CINQUE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4175 STATE ROUTE 417
Mailing Address - Street 2:
Mailing Address - City:WELLSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14895-0539
Mailing Address - Country:US
Mailing Address - Phone:585-593-1232
Mailing Address - Fax:585-593-4950
Practice Address - Street 1:4175 STATE ROUTE 417
Practice Address - Street 2:
Practice Address - City:WELLSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14895-0539
Practice Address - Country:US
Practice Address - Phone:585-593-1232
Practice Address - Fax:585-593-4950
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI060550-1183500000X
NY0605501835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care