Individual
CALVIN JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1706 LEXINGTON AVE, NEW YORK, NY 10029-3936
(718) 742-7622
(718) 777-7740
Mailing address
13733 HOLLY AVE, FLUSHING, NY 11355-4131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
063402
NY
Other
Enumeration date
01/03/2018
Last updated
11/14/2023
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