Provider Demographics
NPI:1912221433
Name:CECERE, ROBERT L (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:CECERE
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4454
Mailing Address - Country:US
Mailing Address - Phone:914-962-2600
Mailing Address - Fax:914-962-6319
Practice Address - Street 1:1905 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4454
Practice Address - Country:US
Practice Address - Phone:914-962-2600
Practice Address - Fax:914-962-6319
Is Sole Proprietor?:No
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021357-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist