Most Relevant Information
Provider Data
| NPI Number: | 1003419193 |
| Provider Name: | KATELYN ANN MASULLO |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 066757 |
Most Important Dates
| Enumeration Date: | 11/19/2020 |
| Last Updated: | 11/23/2020 |
Provider Practice Location
1628 CHRISLER AVE
SCHENECTADY
NY
123031829
Practice Location Phone/Fax
| Phone: | 5183825391 |
| Fax: |
Provider Mailing Location
1628 CHRISLER AVE
SCHENECTADY
NY
123031829
Provider Mailing Phone/Fax
| Phone: | 5183825391 |
| Fax: |