Provider Demographics
NPI:1437533841
Name:PINELLO, BENEDETTA (RPH)
Entity type:Individual
Prefix:MRS
First Name:BENEDETTA
Middle Name:
Last Name:PINELLO
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 1:55 MOTOR AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-4040
Mailing Address - Country:US
Mailing Address - Phone:631-756-5134
Mailing Address - Fax:631-756-5139
Practice Address - Street 1:55 MOTOR AVE
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-4040
Practice Address - Country:US
Practice Address - Phone:631-756-5134
Practice Address - Fax:631-756-5139
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI048008-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist