Provider Demographics
NPI:1194062547
Name:AKOPOVA, MARIA (PHARMD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:AKOPOVA
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 1:62 BAY 31ST ST # 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4110
Mailing Address - Country:US
Mailing Address - Phone:718-946-1228
Mailing Address - Fax:
Practice Address - Street 1:62 BAY 31ST ST # 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4110
Practice Address - Country:US
Practice Address - Phone:718-946-1228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057670183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist