1063624484 NPI number — MRS. ERIN TAMARKIN PINSKY M.A.

Table of content: MRS. ERIN TAMARKIN PINSKY M.A. (NPI 1063624484)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063624484 NPI number — MRS. ERIN TAMARKIN PINSKY M.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PINSKY
Provider First Name:
ERIN
Provider Middle Name:
TAMARKIN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TAMARKIN
Provider Other First Name:
ERIN
Provider Other Middle Name:
SAMANTHA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1063624484
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4141 BRENMAR LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DURHAM
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27713-8173
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-450-0383
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3010 ANDERSON DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27609-7796
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-420-2029
Provider Business Practice Location Address Fax Number:
919-420-2028
Provider Enumeration Date:
05/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  7252 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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