Provider Demographics
NPI:1114242583
Name:EPSTEIN, ANDREW ELLIOT (R,PH)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:ELLIOT
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:R,PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 E 9TH ST
Mailing Address - Street 2:APT 6J
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-4145
Mailing Address - Country:US
Mailing Address - Phone:718-336-7279
Mailing Address - Fax:718-258-2600
Practice Address - Street 1:3402 AVENUE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-2607
Practice Address - Country:US
Practice Address - Phone:718-258-5858
Practice Address - Fax:718-258-2600
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038336183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist