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Organization
ZYNWA5 INC
Active
Organization
ZYNWA5 INC
Active
Other names
MIND & BODY
Organization subpart
No
Provider details
NPI number
Authorized official
WIAME DOUHGRI (PRESIDENT)
(718) 255-6355
Entity
Organization
Contact information
Practice address
5311 ROOSEVELT AVE, WOODSIDE, NY 11377-4238
(718) 255-6355
(718) 255-6353
Mailing address
5311 ROOSEVELT AVE, WOODSIDE, NY 11377-4238
(718) 255-6355
(718) 255-6353
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
031764
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03559368
—
NY
01
—
2139073
PK
—
Enumeration date
02/27/2013
Last updated
10/30/2014
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