Provider Demographics
NPI:1962724096
Name:FEIRSTEIN, SHEILA ESTHER
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:ESTHER
Last Name:FEIRSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:872 LONGACRE AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3510
Mailing Address - Country:US
Mailing Address - Phone:516-295-3072
Mailing Address - Fax:516-374-2915
Practice Address - Street 1:872 LONGACRE AVE
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-3510
Practice Address - Country:US
Practice Address - Phone:516-295-3072
Practice Address - Fax:516-374-2915
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038011183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist