Provider Demographics
NPI:1871993261
Name:NIRENBERG, WESTLEIGH (PHARM D)
Entity type:Individual
Prefix:DR
First Name:WESTLEIGH
Middle Name:
Last Name:NIRENBERG
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15029 72ND RD APT 2C
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2137
Mailing Address - Country:US
Mailing Address - Phone:347-279-5900
Mailing Address - Fax:
Practice Address - Street 1:15029 72ND RD APT 2C
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-2137
Practice Address - Country:US
Practice Address - Phone:347-279-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-04
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059827183500000X, 1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835X0200XPharmacy Service ProvidersPharmacistOncology