Provider Demographics
NPI:1780016527
Name:PARVIN, CHRISTINA (PHARM D)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:PARVIN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19018 HAYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-1159
Mailing Address - Country:US
Mailing Address - Phone:718-316-1773
Mailing Address - Fax:
Practice Address - Street 1:3530 64TH ST
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-2354
Practice Address - Country:US
Practice Address - Phone:718-424-8825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-03
Last Update Date:2013-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058317183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist