MEDICARE: MS. JANET DUBROVSKY PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835G0303X	Geriatric Pharmacist	046452-1	NY

General Provider Information

NPI Number	:	1578647228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET DUBROVSKY PHARMACY

Provider Business Mailing Address
First Line	:	135 OCEANA DR E APT 2C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6694
Country	:	US
Telephone Number	:	718-934-2494
Fax Number	:

Provider Business Practice Location Address
First Line	:	2113 AVENUE V
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4848
Country	:	US
Telephone Number	:	718-517-2272
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	04/07/2017

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