MEDICARE: MRS. ESTHER ELBAUM RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	044730	NY

General Provider Information

NPI Number	:	1669566766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ESTHER ELBAUM RPH

Provider Business Mailing Address
First Line	:	1304 E 34TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4820
Country	:	US
Telephone Number	:	718-951-9754
Fax Number	:

Provider Business Practice Location Address
First Line	:	5006 16TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1404
Country	:	US
Telephone Number	:	718-633-5770
Fax Number	:	718-633-5772

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	05/02/2018

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