Provider Demographics
NPI:1518218049
Name:KALOGERAS, DEANA MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:DEANA
Middle Name:MARIE
Last Name:KALOGERAS
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 1:171 15TH ST
Mailing Address - Street 2:APT 2L
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4851
Mailing Address - Country:US
Mailing Address - Phone:412-608-6272
Mailing Address - Fax:
Practice Address - Street 1:171 15TH ST
Practice Address - Street 2:APT 2L
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4851
Practice Address - Country:US
Practice Address - Phone:412-608-6272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057286-1183500000X
PARP445164183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist