Healthcare Provider Details

I. General information

NPI: 1427220409
Provider Name (Legal Business Name): VICTORIA ELIZABETH ZAGORSKI RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2008
Last Update Date: 03/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 NEW YORK AVE
HUNTINGTON NY
11743-2199
US

IV. Provider business mailing address

3804 NIAMI ST
SEAFORD NY
11783-3543
US

V. Phone/Fax

Practice location:
  • Phone: 631-385-7320
  • Fax:
Mailing address:
  • Phone: 516-221-4765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number038136
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: