Provider Demographics
NPI:1255395547
Name:BRINKEL, DAVID ALLEN (RPH)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ALLEN
Last Name:BRINKEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:HILTON
Mailing Address - State:NY
Mailing Address - Zip Code:14468-1427
Mailing Address - Country:US
Mailing Address - Phone:585-392-3732
Mailing Address - Fax:
Practice Address - Street 1:421 S UNION ST
Practice Address - Street 2:
Practice Address - City:SPENCERPORT
Practice Address - State:NY
Practice Address - Zip Code:14559-1913
Practice Address - Country:US
Practice Address - Phone:585-352-1440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026944183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist