Provider Demographics
NPI:1881762037
Name:ZEITOUN, RICHARD L (RPH)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:L
Last Name:ZEITOUN
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 1:20 SPRUCE RD
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-1521
Mailing Address - Country:US
Mailing Address - Phone:914-844-6679
Mailing Address - Fax:
Practice Address - Street 1:20 SPRUCE RD
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-1521
Practice Address - Country:US
Practice Address - Phone:914-844-6679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032085183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist