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Individual

MRS. ANCY VENY EASO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5959
Mailing address
257 BRADLEY AVE, BERGENFIELD, NJ 07621-2226
(201) 244-5874
(201) 701-0387

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
047705-1
NY

Other

Enumeration date
01/25/2007
Last updated
07/08/2007
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