Provider Demographics
NPI:1922277623
Name:ZEITOUN, BRIGITTE S (RPH)
Entity Type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:S
Last Name:ZEITOUN
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 1:75 WESTWOOD DR
Mailing Address - Street 2:#104
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-1616
Mailing Address - Country:US
Mailing Address - Phone:718-207-7913
Mailing Address - Fax:
Practice Address - Street 1:4055 MERRICK RD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-2830
Practice Address - Country:US
Practice Address - Phone:516-826-6767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30637-1183500000X
NY030637-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY030637-1Medicaid