Healthcare Provider Details

I. General information

NPI: 1396125431
Provider Name (Legal Business Name): ERIN CHRISTINE HARBISON B.S., PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2015
Last Update Date: 06/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 1ST AVE
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

4712 213TH ST 2ND FLOOR
BAYSIDE NY
11361-3328
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-7000
  • Fax:
Mailing address:
  • Phone: 917-446-0978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number055117
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: