Provider Demographics
NPI:1801145156
Name:PANIKER, ANCY MARIA (PHARMD)
Entity type:Individual
Prefix:
First Name:ANCY
Middle Name:MARIA
Last Name:PANIKER
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 1:205 ARGYLE RD
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-3701
Mailing Address - Country:US
Mailing Address - Phone:516-502-4505
Mailing Address - Fax:
Practice Address - Street 1:205 ARGYLE RD
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-3701
Practice Address - Country:US
Practice Address - Phone:516-502-4505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-02
Last Update Date:2012-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057013183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist