Individual ProviderMaria FavalePharmacistPharmacy Service ProvidersPractice Address1400 Saint Nicholas Ave, New York, NY 10033-4027(212) 568-5454PECOS EnrollmentBased on the most recent information from CMS, provider Maria Favale does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1922371608Provider TypeIndividualFull NameFavale, MariaCredentialPHARMDGenderFemaleSole ProprietorNoEnumeration Date2/11/2012Last Updated12/12/2023Contact InformationPractice LocationPractice Address1400 Saint Nicholas Ave, New York, NY 10033-4027Phone(212) 568-5454Fax(212) 568-5340Mailing LocationMailing Address1400 Saint Nicholas Ave, New York, NY 10033-4027Phone(212) 568-5454Fax(212) 568-5340Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense035379-1New York