Provider Demographics
NPI:1851488340
Name:JODLOWSKI, TOMASZ ZBIGNIEW (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TOMASZ
Middle Name:ZBIGNIEW
Last Name:JODLOWSKI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20915 18TH AVE
Mailing Address - Street 2:APT 5J
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-1451
Mailing Address - Country:US
Mailing Address - Phone:917-334-8309
Mailing Address - Fax:
Practice Address - Street 1:8000 UTOPIA PKWY
Practice Address - Street 2:ST. ALBERT'S HALL
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11439-0001
Practice Address - Country:US
Practice Address - Phone:718-990-2487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049973183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist