Provider Demographics
NPI:1093835985
Name:FEUERSTEIN, PAUL (RPH)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:FEUERSTEIN
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 1:10 BRAFMANS RD
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11096-1035
Mailing Address - Country:US
Mailing Address - Phone:516-239-4850
Mailing Address - Fax:
Practice Address - Street 1:2315 WESTCHESTER AVE
Practice Address - Street 2:Z-STOP DRUGS
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-5011
Practice Address - Country:US
Practice Address - Phone:718-409-3537
Practice Address - Fax:718-409-3543
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33289183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist