Provider Demographics
NPI:1720541345
Name:STROZEWSKI, KARINA ANN
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:ANN
Last Name:STROZEWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1498 YORK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0703
Mailing Address - Country:US
Mailing Address - Phone:212-879-8990
Mailing Address - Fax:
Practice Address - Street 1:1498 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0703
Practice Address - Country:US
Practice Address - Phone:212-879-8990
Practice Address - Fax:212-879-9656
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03234052183500000X
NY064461-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist