Individual
MR. CHRISOVALANTIS ANTONAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
537-539 138 STREET, BRONX, NY 10454
(718) 502-4440
Mailing address
1908 OLD MILL RD, MERRICK, NY 11566-1529
(516) 608-0153
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053961
NY
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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