Provider Demographics
NPI:1184838807
Name:NAJIBI-DROR, TANNAZ (BS PHARMACY)
Entity type:Individual
Prefix:MRS
First Name:TANNAZ
Middle Name:
Last Name:NAJIBI-DROR
Suffix:
Gender:F
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HICKORY DR
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-1706
Mailing Address - Country:US
Mailing Address - Phone:516-482-1327
Mailing Address - Fax:212-354-2030
Practice Address - Street 1:105 CROYDEN AVE
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11023-1643
Practice Address - Country:US
Practice Address - Phone:516-482-1327
Practice Address - Fax:212-354-2030
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048023-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist