Healthcare Provider Details

I. General information

NPI: 1659026185
Provider Name (Legal Business Name): ASHLEY EINSTEIN AUBRY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2022
Last Update Date: 02/16/2022
Certification Date: 02/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 CLARKSON AVE
BROOKLYN NY
11203-2054
US

IV. Provider business mailing address

732 E 91ST ST
BROOKLYN NY
11236-1420
US

V. Phone/Fax

Practice location:
  • Phone: 718-245-4319
  • Fax:
Mailing address:
  • Phone: 347-549-8363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number00892-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: