Provider Demographics
NPI:1255653341
Name:FERREIRA, DAVID JOHN (RPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:JOHN
Last Name:FERREIRA
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 1:23 SPENCER PL
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4110
Mailing Address - Country:US
Mailing Address - Phone:914-723-2808
Mailing Address - Fax:914-723-2781
Practice Address - Street 1:23 SPENCER PL
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4110
Practice Address - Country:US
Practice Address - Phone:914-723-2808
Practice Address - Fax:914-723-2781
Is Sole Proprietor?:No
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034729183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist