Provider Demographics
NPI:1841522448
Name:ZYKOV, LYUDMILA (PHARMD)
Entity type:Individual
Prefix:
First Name:LYUDMILA
Middle Name:
Last Name:ZYKOV
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:LYUDMILA
Other - Middle Name:
Other - Last Name:ZYKOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1877 E 12TH ST
Mailing Address - Street 2:4-G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2765
Mailing Address - Country:US
Mailing Address - Phone:708-975-2128
Mailing Address - Fax:
Practice Address - Street 1:378 6TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8442
Practice Address - Country:US
Practice Address - Phone:212-674-5357
Practice Address - Fax:212-353-9029
Is Sole Proprietor?:No
Enumeration Date:2010-02-05
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052057183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist