Healthcare Provider Details

I. General information

NPI: 1528390721
Provider Name (Legal Business Name): LEONARD WEINSTEIN PHARMACIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2010
Last Update Date: 02/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

563 E.TREMONT AVE. BEST AID PHARMACY
BRONX NY
10457
US

IV. Provider business mailing address

1840 E 13TH ST APT. 4J
BROOKLYN NY
11229-2851
US

V. Phone/Fax

Practice location:
  • Phone: 718-466-4700
  • Fax:
Mailing address:
  • Phone: 917-849-9207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number049020
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: