Individual
MRS. AMENEH FARAH NIKNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 LEGACY CT, HUNTINGTON, NY 11743-5564
(631) 757-0486
Mailing address
55 W AMES CT, PLAINVIEW, NY 11803-2304
(516) 938-8080
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042560-1
NY
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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