Provider Demographics
NPI:1275012825
Name:PLUSZCZEWICZ, WERONIKA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WERONIKA
Middle Name:
Last Name:PLUSZCZEWICZ
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 1:8804 102ND AVE
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11416-2132
Mailing Address - Country:US
Mailing Address - Phone:347-321-9410
Mailing Address - Fax:
Practice Address - Street 1:6204B WOODHAVEN BLVD
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2881
Practice Address - Country:US
Practice Address - Phone:718-899-2001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064320183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist