Provider Demographics
NPI:1164881512
Name:ALMSTEAD, ERICA
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:ALMSTEAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-1018
Mailing Address - Country:US
Mailing Address - Phone:518-822-0165
Mailing Address - Fax:518-822-0167
Practice Address - Street 1:460 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-1018
Practice Address - Country:US
Practice Address - Phone:518-822-0165
Practice Address - Fax:518-822-0167
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-14
Last Update Date:2016-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10085341183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician