Provider Demographics
NPI:1942470307
Name:PALMENTIERO, RACHELE
Entity Type:Individual
Prefix:MRS
First Name:RACHELE
Middle Name:
Last Name:PALMENTIERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 DEPOT HILL RD
Mailing Address - Street 2:
Mailing Address - City:POUGHQUAG
Mailing Address - State:NY
Mailing Address - Zip Code:12570-5766
Mailing Address - Country:US
Mailing Address - Phone:845-878-2061
Mailing Address - Fax:184-587-8301
Practice Address - Street 1:3113 RTE 22
Practice Address - Street 2:
Practice Address - City:PATTERSON
Practice Address - State:NY
Practice Address - Zip Code:12563-2342
Practice Address - Country:US
Practice Address - Phone:845-878-2061
Practice Address - Fax:845-878-3013
Is Sole Proprietor?:No
Enumeration Date:2008-03-01
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046011183500000X
CT08061183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT08061OtherPHARMACY
NY046011OtherPHARMACY