Provider Demographics
NPI:1124683784
Name:ELMINSHAWY, YUSUF
Entity type:Individual
Prefix:
First Name:YUSUF
Middle Name:
Last Name:ELMINSHAWY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-5415
Mailing Address - Country:US
Mailing Address - Phone:845-561-5253
Mailing Address - Fax:845-561-7978
Practice Address - Street 1:194 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-5415
Practice Address - Country:US
Practice Address - Phone:845-561-5253
Practice Address - Fax:845-561-7978
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-08
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061385183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist