Provider Demographics
NPI:1578647228
Name:DUBROVSKY, JANET (PHARMACY)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:DUBROVSKY
Suffix:
Gender:F
Credentials:PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 OCEANA DR E APT 2C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6694
Mailing Address - Country:US
Mailing Address - Phone:718-934-2494
Mailing Address - Fax:
Practice Address - Street 1:2113 AVENUE V
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4848
Practice Address - Country:US
Practice Address - Phone:718-517-2272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046452-11835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric