Provider Demographics
NPI:1891102950
Name:BYKOVA, NATALIA S (RPH)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:S
Last Name:BYKOVA
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 1:314 E 91ST ST
Mailing Address - Street 2:APT 1 W
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5310
Mailing Address - Country:US
Mailing Address - Phone:917-697-8268
Mailing Address - Fax:
Practice Address - Street 1:1619 THIRD AVENUE
Practice Address - Street 2:KINGS THIRD AVENUE PHARMACY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-4661
Practice Address - Country:US
Practice Address - Phone:212-534-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059380183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist