Provider Demographics
NPI:1376822908
Name:CALAMARI, NICHOLE DENEICE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NICHOLE
Middle Name:DENEICE
Last Name:CALAMARI
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:PO BOX 872
Mailing Address - Street 2:
Mailing Address - City:VAILS GATE
Mailing Address - State:NY
Mailing Address - Zip Code:12584-0872
Mailing Address - Country:US
Mailing Address - Phone:845-562-4010
Mailing Address - Fax:
Practice Address - Street 1:416 WINDSOR HWY
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-6982
Practice Address - Country:US
Practice Address - Phone:845-562-4010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-14
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055959183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist