Provider Demographics
NPI:1124197066
Name:GINZBURG, REGINA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:REGINA
Middle Name:
Last Name:GINZBURG
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 1:11215 72ND RD
Mailing Address - Street 2:403
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4663
Mailing Address - Country:US
Mailing Address - Phone:718-990-2019
Mailing Address - Fax:
Practice Address - Street 1:8000 UTOPIA PKWY
Practice Address - Street 2:SAINT ALBERTS HALL 114
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11439-0001
Practice Address - Country:US
Practice Address - Phone:718-990-2019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0472521835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy