Individual
BASIRAT SHOBERU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPPS
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 528-2254
Mailing address
18320 144TH AVE, SPRINGFIELD GARDENS, NY 11413-3206
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
054508
NY
Other
Enumeration date
12/17/2018
Last updated
01/17/2019
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