Provider Demographics
NPI:1144038258
Name:QUAYSON, CHRISTODIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTODIA
Middle Name:
Last Name:QUAYSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1049 E 230TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-4809
Mailing Address - Country:US
Mailing Address - Phone:212-470-8632
Mailing Address - Fax:
Practice Address - Street 1:577 NORTH AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-2646
Practice Address - Country:US
Practice Address - Phone:914-235-6475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072340183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist