Provider Demographics
NPI:1336137900
Name:SHRAYBER, ALLA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ALLA
Middle Name:
Last Name:SHRAYBER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 SHEEPSHEAD BAY RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3920
Mailing Address - Country:US
Mailing Address - Phone:718-332-7733
Mailing Address - Fax:718-332-2971
Practice Address - Street 1:1324 SHEEPSHEAD BAY RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3920
Practice Address - Country:US
Practice Address - Phone:718-332-7733
Practice Address - Fax:718-332-2971
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044253183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY044253OtherLICENSE NUMBER