Provider Demographics
NPI:1861100059
Name:TRAINOR, EMMA ROSE (PHARMD)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:ROSE
Last Name:TRAINOR
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 1:99 CISNEY AVE
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-3214
Mailing Address - Country:US
Mailing Address - Phone:516-860-3893
Mailing Address - Fax:
Practice Address - Street 1:17 E JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-3103
Practice Address - Country:US
Practice Address - Phone:516-873-1998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069799183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist