Provider Demographics
NPI:1639357809
Name:DURAN, ERIN ALTAGRACIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:ALTAGRACIA
Last Name:DURAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3125 BAINBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-3955
Mailing Address - Country:US
Mailing Address - Phone:718-696-1958
Mailing Address - Fax:718-696-1966
Practice Address - Street 1:3125 BAINBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-3955
Practice Address - Country:US
Practice Address - Phone:718-696-1958
Practice Address - Fax:718-696-1966
Is Sole Proprietor?:No
Enumeration Date:2008-02-09
Last Update Date:2008-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049885183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist