Provider Demographics
NPI:1407505662
Name:ZORNIC, ZERINA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZERINA
Middle Name:
Last Name:ZORNIC
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 1:408 PARKSIDE TRL
Mailing Address - Street 2:
Mailing Address - City:MACEDON
Mailing Address - State:NY
Mailing Address - Zip Code:14502-8759
Mailing Address - Country:US
Mailing Address - Phone:585-465-1433
Mailing Address - Fax:
Practice Address - Street 1:2155 PENFIELD RD
Practice Address - Street 2:
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-1742
Practice Address - Country:US
Practice Address - Phone:585-248-3060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY066839183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist