# DIRECT DNA CONSULTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831601574
- **Authorized official:** DIANA NERYAEV RPH (PHARMACIST)
- **Authorized official phone:** (917) 517-3950

## Contact information

- **Practice address:** 8022 192ND ST, HOLLIS, NY 11423-1043
- **Practice address phone:** (917) 517-3950
- **Practice address fax:** (917) 517-3950
- **Mailing address:** 8022 192ND ST, HOLLIS, NY 11423-1043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 048089 | NY | Yes |

## Other

- **Enumeration date:** 11/03/2017
- **Last updated:** 11/03/2017