Provider Demographics
NPI:1235453572
Name:MICHALCIK, LINDSAY JENNIFER (PHARMD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:JENNIFER
Last Name:MICHALCIK
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 1:53 E 122ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-2700
Mailing Address - Country:US
Mailing Address - Phone:212-369-5555
Mailing Address - Fax:212-534-4517
Practice Address - Street 1:53 E 122ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-2700
Practice Address - Country:US
Practice Address - Phone:212-369-5555
Practice Address - Fax:212-534-4517
Is Sole Proprietor?:No
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049979-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist