Provider Demographics
NPI:1538580352
Name:WEINSTEIN, ERICA FAITH (PHARMD)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:FAITH
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 BEVERLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3150
Mailing Address - Country:US
Mailing Address - Phone:516-352-8548
Mailing Address - Fax:718-437-7808
Practice Address - Street 1:114 BEVERLEY RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3914
Practice Address - Country:US
Practice Address - Phone:516-352-8548
Practice Address - Fax:718-437-7808
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-20
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058512183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist