Individual
MRS. AMTUL KHALEELULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20414 HILLSIDE AVE, HOLLIS, NY 11423-2217
(718) 464-4066
Mailing address
238 STUART RD, VALLEY STREAM, NY 11581-3412
(516) 561-1924
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
150310363
NY
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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