Provider Demographics
NPI:1346563327
Name:PIKOVSKAYA, IRINA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:IRINA
Middle Name:
Last Name:PIKOVSKAYA
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 1:640 FORT WASHINGTON AVE APT 3G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-3922
Mailing Address - Country:US
Mailing Address - Phone:347-907-9633
Mailing Address - Fax:
Practice Address - Street 1:640 FORT WASHINGTON AVE APT 3G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-3922
Practice Address - Country:US
Practice Address - Phone:347-907-9633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047370-1183500000X
NY047370-I183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacist