Provider Demographics
NPI:1477736742
Name:KALANTAROVA, DINA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DINA
Middle Name:
Last Name:KALANTAROVA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WHITEHALL ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-2109
Mailing Address - Country:US
Mailing Address - Phone:212-509-9020
Mailing Address - Fax:212-785-1779
Practice Address - Street 1:1 WHITEHALL ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-2109
Practice Address - Country:US
Practice Address - Phone:212-509-9020
Practice Address - Fax:212-785-1779
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047196183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist