Individual
BRIAN AMZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 AVALON PINES DR, CORAM, NY 11727-5136
(631) 258-1062
Mailing address
1104 AVALON PINES DR, CORAM, NY 11727-5136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
058289
NY
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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