Provider Demographics
NPI:1811518186
Name:PAPAMANOLIS, CATHERINE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:PAPAMANOLIS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:589 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-6020
Mailing Address - Country:US
Mailing Address - Phone:347-955-3029
Mailing Address - Fax:347-955-3064
Practice Address - Street 1:4302 DITMARS BLVD
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-1337
Practice Address - Country:US
Practice Address - Phone:718-267-6766
Practice Address - Fax:718-267-7860
Is Sole Proprietor?:No
Enumeration Date:2020-04-28
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI065001183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist