Healthcare Provider Details

I. General information

NPI: 1558898833
Provider Name (Legal Business Name): RITA KUCHIK PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2017
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 NEPTUNE AVE
BROOKLYN NY
11235-6992
US

IV. Provider business mailing address

2227 E 57TH PL
BROOKLYN NY
11234-6410
US

V. Phone/Fax

Practice location:
  • Phone: 718-535-1257
  • Fax:
Mailing address:
  • Phone: 646-460-7075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number62785
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: