Provider Demographics
NPI:1558368654
Name:DOROSZ, CHRISTINA MARIA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MARIA
Last Name:DOROSZ
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 1:82 SAINT MARKS PL
Mailing Address - Street 2:APT 4 I
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-1644
Mailing Address - Country:US
Mailing Address - Phone:718-720-8876
Mailing Address - Fax:
Practice Address - Street 1:80 1ST AVE
Practice Address - Street 2:APT 13 B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-6321
Practice Address - Country:US
Practice Address - Phone:212-982-6366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045974174400000X, 1835P1200X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered174400000XOther Service ProvidersSpecialist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Not Answered183500000XPharmacy Service ProvidersPharmacist