Provider Demographics
NPI:1992836019
Name:CELLA, MARY O'SHEA (RPH)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:O'SHEA
Last Name:CELLA
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 1:25 CHEEVER PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-3091
Mailing Address - Country:US
Mailing Address - Phone:718-596-7592
Mailing Address - Fax:
Practice Address - Street 1:281 AVENUE OF THE AMERICAS
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-4723
Practice Address - Country:US
Practice Address - Phone:212-424-3033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026334-2183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist