Provider Demographics
NPI:1275856965
Name:VINOKUR, ANATOLIY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANATOLIY
Middle Name:
Last Name:VINOKUR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 E 8TH ST
Mailing Address - Street 2:APT 5K
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7063
Mailing Address - Country:US
Mailing Address - Phone:917-862-7397
Mailing Address - Fax:718-376-2146
Practice Address - Street 1:249 7AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215
Practice Address - Country:US
Practice Address - Phone:718-768-9567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-09
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY52994183500000X
225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No183500000XPharmacy Service ProvidersPharmacist