Provider Demographics
NPI:1659694669
Name:ZYLAJ, ERALD (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:ERALD
Middle Name:
Last Name:ZYLAJ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1194 HYLAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-1920
Mailing Address - Country:US
Mailing Address - Phone:718-524-8127
Mailing Address - Fax:718-524-6592
Practice Address - Street 1:1194 HYLAN BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305
Practice Address - Country:US
Practice Address - Phone:718-524-8127
Practice Address - Fax:718-524-6592
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-04
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053651183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist