IndividualActive
Ilya Krichavets
NPI 1962368357 · Infectious Diseases Pharmacist · Bronx, NY
Provider details
- NPI number
- 1962368357
- Entity type
- Individual
- Primary specialty
- Infectious Diseases PharmacistPharmacy Service Providers
- Sole proprietor
- No
- License
- 060476 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-2566
Approximate (ZIP-level) locationGet directions
Mailing address
111 E 210th St
Bronx, NY 10467-2401
Registry dates
- Enumerated
- 2025-12-29
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.