Provider Demographics
NPI:1972590032
Name:ZAGARIA, MARY ANN E (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:MARY ANN
Middle Name:E
Last Name:ZAGARIA
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 589
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815-0589
Mailing Address - Country:US
Mailing Address - Phone:917-921-1475
Mailing Address - Fax:
Practice Address - Street 1:895 HYLAN BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-2020
Practice Address - Country:US
Practice Address - Phone:917-921-1475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY03501711835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy