Provider Demographics
NPI:1619228178
Name:ZUILKOWSKI, AMY KIEN (PHARM D)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:KIEN
Last Name:ZUILKOWSKI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:KIEN
Other - Middle Name:MY
Other - Last Name:QUACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2510 COLLEGE POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-1045
Mailing Address - Country:US
Mailing Address - Phone:281-633-6181
Mailing Address - Fax:
Practice Address - Street 1:1401 COLLEGE POINT BLVD
Practice Address - Street 2:
Practice Address - City:COLLEGE POINT
Practice Address - State:NY
Practice Address - Zip Code:11356-1719
Practice Address - Country:US
Practice Address - Phone:718-353-3904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI0573141183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist