Healthcare Provider Details

I. General information

NPI: 1104140581
Provider Name (Legal Business Name): KATARZYNA GEJDEL PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2010
Last Update Date: 03/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 OCEAN PARKWAY CONEY ISLAND HOSPITAL
BROOKLYN NY
11235
US

IV. Provider business mailing address

45 BAY 35TH ST APT. 2A
BROOKLYN NY
11214-4364
US

V. Phone/Fax

Practice location:
  • Phone: 718-616-4080
  • Fax:
Mailing address:
  • Phone: 917-846-0713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number052459
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: