Kim Terese Poltorak in Massapequa Park - Pharmacist
Kim Terese Poltorak - NPI 1538346804
Kim Terese Poltorak is a Pharmacist in Massapequa Park, New York. Kim Terese Poltorak practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Kim Terese Poltorak is 1538346804. The last update date is 2008-01-29.
Kim Terese Poltorak's current location address is 320 Roosevelt Ave, Massapequa Park, New York. You can contact this provider via phone number 6318424658 and fax number 6318429493. The mailing address for Kim Terese Poltorak is 320 Roosevelt Ave, Massapequa Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Terese Poltorak |
|---|---|
| Address | 320 Roosevelt Ave, Massapequa Park, New York |
| Phone Number | 6318424658 |
| Fax Number | 6318429493 |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1538346804 |
|---|---|
| Provider Enumeration Date | 2008-01-29 |
| Last Updated Date | 2008-01-29 |
Provider Mailing Address Detail
| Address | 320 Roosevelt Ave |
|---|---|
| City | Massapequa Park |
| State | New York (NY) |
| Post Code | 117621728 |
| Phone Number | 6318424658 |
| Fax Number | 6318429493 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 42436 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the unique identifier code issued to Kim Terese Poltorak by the Centers for Medicare & Medicaid Services (CMS)?
The Kim Terese Poltorak has been assigned the NPI (National Provider Identifier) 1538346804. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Kim Terese Poltorak?
The Kim Terese Poltorak is physically situated at 320 Roosevelt Ave, in the city of Massapequa Park, state of NY, with the postal code 117621728.
What is Kim Terese Poltorak's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kim Terese Poltorak's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date was the 1538346804 assigned to Kim Terese Poltorak?
The Kim Terese Poltorak was issued its 1538346804 on 2008-01-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kim Terese Poltorak, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kim Terese Poltorak, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-29.