Provider Demographics
NPI:1518143965
Name:ECKSTEIN, ARTHUR ABRAHAM (RPH)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:ABRAHAM
Last Name:ECKSTEIN
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 1:355 ELMENDORF DR
Mailing Address - Street 2:
Mailing Address - City:HURLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12443-5819
Mailing Address - Country:US
Mailing Address - Phone:845-687-7766
Mailing Address - Fax:
Practice Address - Street 1:3852 MAIN
Practice Address - Street 2:RITE AID PHARMACY
Practice Address - City:STONE RIDGE
Practice Address - State:NY
Practice Address - Zip Code:12484-0659
Practice Address - Country:US
Practice Address - Phone:845-687-7766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030769183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist