Individual
DR. ELISE ENCARNACION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTOR OF PHARMACY
Contact information
Practice address
67 STEWART ST APT 2, BROOKLYN, NY 11207-1831
(646) 897-3337
Mailing address
67 STEWART ST APT 2, BROOKLYN, NY 11207-1831
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054733
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054733
PHARMACY LICENSE
NY
Enumeration date
02/27/2018
Last updated
02/27/2018
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