Provider Demographics
NPI:1518272780
Name:SHVARSHTEYN, NATALIYA (RPH)
Entity Type:Individual
Prefix:
First Name:NATALIYA
Middle Name:
Last Name:SHVARSHTEYN
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 1:705 ANDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-2032
Mailing Address - Country:US
Mailing Address - Phone:201-943-2225
Mailing Address - Fax:
Practice Address - Street 1:705 ANDERSON AVE
Practice Address - Street 2:
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010-2032
Practice Address - Country:US
Practice Address - Phone:201-943-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02993000183500000X
NY047522183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist