Provider Demographics
NPI:1669566766
Name:ELBAUM, ESTHER (RPH)
Entity type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:
Last Name:ELBAUM
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 1:1304 E 34TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4820
Mailing Address - Country:US
Mailing Address - Phone:718-951-9754
Mailing Address - Fax:
Practice Address - Street 1:5006 16TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1404
Practice Address - Country:US
Practice Address - Phone:718-633-5770
Practice Address - Fax:718-633-5772
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044730183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist