Individual
DR. JONATHAN SCOTT PODLASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
575 UNDERHILL BLVD, SUITE 110, SYOSSET, NY 11791-3426
(855) 794-6634
(855) 794-6635
Mailing address
19 THOMPSON PL, LYNBROOK, NY 11563-4022
(516) 395-1925
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
053990
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04548876
—
NY
Enumeration date
03/03/2010
Last updated
03/21/2017
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