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Individual
MR. RIAZ A WATTOO
Active
Individual
MR. RIAZ A WATTOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044031
NY STATE LICENSE
NY
Enumeration date
03/25/2010
Last updated
02/15/2017
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