Provider Demographics
NPI:1821320896
Name:HOROCHIWSKY, LESSYA (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:LESSYA
Middle Name:
Last Name:HOROCHIWSKY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6453 83RD PL
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-2434
Mailing Address - Country:US
Mailing Address - Phone:718-406-9582
Mailing Address - Fax:718-672-6759
Practice Address - Street 1:8002 ELIOT AVE
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-1409
Practice Address - Country:US
Practice Address - Phone:718-429-6611
Practice Address - Fax:718-672-6759
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051267-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist