Provider Demographics
NPI:1154637262
Name:ZASLAVSKAYA, VIKTORIYA (PHARM D)
Entity Type:Individual
Prefix:
First Name:VIKTORIYA
Middle Name:
Last Name:ZASLAVSKAYA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10007
Mailing Address - Country:US
Mailing Address - Phone:212-227-6168
Mailing Address - Fax:212-571-4679
Practice Address - Street 1:305 BROADWAY
Practice Address - Street 2:
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10007
Practice Address - Country:US
Practice Address - Phone:212-227-6168
Practice Address - Fax:212-571-4679
Is Sole Proprietor?:No
Enumeration Date:2010-08-26
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055070183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist