Provider Demographics
NPI:1750606422
Name:GARBIN, JEFFREY CARL
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:CARL
Last Name:GARBIN
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 1:160 ROBINSON ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13904-1547
Mailing Address - Country:US
Mailing Address - Phone:607-772-6357
Mailing Address - Fax:607-772-6392
Practice Address - Street 1:160 ROBINSON ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13904-1547
Practice Address - Country:US
Practice Address - Phone:607-772-6357
Practice Address - Fax:607-772-6392
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036045L183500000X
NY039000-1183500000X
FLPS25198183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist