Provider Demographics
NPI:1134442411
Name:DUFFELMEYER, DENISE ANN (RPH)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:ANN
Last Name:DUFFELMEYER
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 1:3 DEY ST
Mailing Address - Street 2:
Mailing Address - City:WEST HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2509
Mailing Address - Country:US
Mailing Address - Phone:914-682-1446
Mailing Address - Fax:
Practice Address - Street 1:15 HALSTEAD AVE
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-4002
Practice Address - Country:US
Practice Address - Phone:914-835-1125
Practice Address - Fax:914-835-3943
Is Sole Proprietor?:No
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044677183500000X
CT0008521183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist