Provider Demographics
NPI:1629300108
Name:JASLOWITZ, ERIC (RPH)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:JASLOWITZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:ERIC
Other - Middle Name:
Other - Last Name:JASLOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:111 VREDENBURGH AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-2167
Mailing Address - Country:US
Mailing Address - Phone:914-378-9314
Mailing Address - Fax:914-378-9320
Practice Address - Street 1:111 VREDENBURGH AVENUE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704
Practice Address - Country:US
Practice Address - Phone:914-378-9314
Practice Address - Fax:914-378-9320
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047751183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist