Provider Demographics
NPI:1861795007
Name:ELHIRECH, YOUCEF (PHARMD)
Entity type:Individual
Prefix:DR
First Name:YOUCEF
Middle Name:
Last Name:ELHIRECH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2824 STEINWAY ST # 211
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3332
Mailing Address - Country:US
Mailing Address - Phone:646-508-8313
Mailing Address - Fax:
Practice Address - Street 1:2824 STEINWAY ST MB211
Practice Address - Street 2:
Practice Address - City:ASORIA
Practice Address - State:NY
Practice Address - Zip Code:11103
Practice Address - Country:US
Practice Address - Phone:646-508-8313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-09
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03202000183500000X
NY055386183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist