Provider Demographics
NPI:1033583935
Name:OLFIR, YEVGENIY (RPH)
Entity Type:Individual
Prefix:
First Name:YEVGENIY
Middle Name:
Last Name:OLFIR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2816 W 8TH ST
Mailing Address - Street 2:APT 11Q
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-3319
Mailing Address - Country:US
Mailing Address - Phone:718-930-2888
Mailing Address - Fax:
Practice Address - Street 1:2816 W 8TH ST
Practice Address - Street 2:APT 11Q
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-3319
Practice Address - Country:US
Practice Address - Phone:718-930-2888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061298183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist