Individual
MRS. CAROL JEAN DINICOLANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2 PARAGON DR, MONTVALE, NJ 07645-1718
(201) 571-8334
(201) 571-8335
Mailing address
2 BLUEBIRD LN, AMHERST, NY 14228-1024
(716) 310-9144
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
035366
NY
183500000X
Pharmacist
PS22018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035366
STATE LICENSE
NY
01
—
PS22018
STATE LICENSE
FL
Enumeration date
11/15/2007
Last updated
11/15/2007
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