Provider Demographics
NPI:1588127252
Name:ZARCONE, GINA MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:MARIE
Last Name:ZARCONE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 HEBERTON RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14622-2408
Mailing Address - Country:US
Mailing Address - Phone:585-755-3116
Mailing Address - Fax:
Practice Address - Street 1:1433 CULVER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-4235
Practice Address - Country:US
Practice Address - Phone:585-288-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-10
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061424183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist