Provider Demographics
NPI:1730367145
Name:LAMA, AFIFE M (BS)
Entity type:Individual
Prefix:MRS
First Name:AFIFE
Middle Name:M
Last Name:LAMA
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MRS
Other - First Name:FIFA
Other - Middle Name:M
Other - Last Name:SHIBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BS
Mailing Address - Street 1:101 KNOLLWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607-1820
Mailing Address - Country:US
Mailing Address - Phone:914-682-7523
Mailing Address - Fax:914-683-8816
Practice Address - Street 1:101 KNOLLWOOD RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-1820
Practice Address - Country:US
Practice Address - Phone:914-682-7523
Practice Address - Fax:914-683-8816
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042338183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01654397Medicaid