Healthcare Provider Details

I. General information

NPI: 1407505662
Provider Name (Legal Business Name): ZERINA ZORNIC PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 03/23/2022
Certification Date: 03/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2155 PENFIELD RD
PENFIELD NY
14526-1742
US

IV. Provider business mailing address

408 PARKSIDE TRL
MACEDON NY
14502-8759
US

V. Phone/Fax

Practice location:
  • Phone: 585-248-3060
  • Fax:
Mailing address:
  • Phone: 585-465-1433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number066839
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: