=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306160411
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERHAN YALBIR RPH
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/17/2010
-----------------------------------------------------
Last Update Date | 03/17/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1652 1ST AVE
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10028-4647
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-492-8801
-----------------------------------------------------
Fax | 917-492-8806
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 240 E 47TH ST APT 4B
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10017-2131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-317-1395
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 038265
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------