Provider Demographics
NPI:1265873285
Name:POZOTRIGO, MELISSA (PHARMD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:POZOTRIGO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 1ST AVE
Mailing Address - Street 2:S722
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6038
Mailing Address - Country:US
Mailing Address - Phone:212-639-5208
Mailing Address - Fax:
Practice Address - Street 1:1250 1ST AVE
Practice Address - Street 2:S722
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6038
Practice Address - Country:US
Practice Address - Phone:212-639-5208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054199-11835P0018X
FLPS436031835P0018X
NJ28RI030073001835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist