Provider Demographics
NPI:1720886120
Name:GARATZIOTIS, THEONY (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:DR
First Name:THEONY
Middle Name:
Last Name:GARATZIOTIS
Suffix:
Gender:
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3053 34TH ST APT 1R
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-5156
Mailing Address - Country:US
Mailing Address - Phone:347-891-9583
Mailing Address - Fax:
Practice Address - Street 1:475 6TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8422
Practice Address - Country:US
Practice Address - Phone:212-337-3242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist