Healthcare Provider Details

I. General information

NPI: 1063624484
Provider Name (Legal Business Name): ERIN TAMARKIN PINSKY M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN SAMANTHA TAMARKIN M.A.

II. Dates (important events)

Enumeration Date: 05/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 ANDERSON DR
RALEIGH NC
27609-7796
US

IV. Provider business mailing address

4141 BRENMAR LN
DURHAM NC
27713-8173
US

V. Phone/Fax

Practice location:
  • Phone: 919-420-2029
  • Fax: 919-420-2028
Mailing address:
  • Phone: 919-450-0383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number7252
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: