Provider Demographics
NPI:1205428067
Name:CARTENUTO, ADAM JOSEPH (PHARMD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:JOSEPH
Last Name:CARTENUTO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 GLIDDEN ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14206-2552
Mailing Address - Country:US
Mailing Address - Phone:716-352-6048
Mailing Address - Fax:
Practice Address - Street 1:5622 AMANDA LN
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1555
Practice Address - Country:US
Practice Address - Phone:716-821-9844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067371183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist