Provider Demographics
NPI:1760704159
Name:KENDSERSKY, TAMARA (RPH)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:KENDSERSKY
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 1:80 PONDFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3801
Mailing Address - Country:US
Mailing Address - Phone:914-337-3520
Mailing Address - Fax:
Practice Address - Street 1:80 PONDFIELD RD
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3801
Practice Address - Country:US
Practice Address - Phone:914-337-3520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0505890183500000X
MAPH24274183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist