Individual
BHASHYAM KUNTHIPURAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
556 GRAND ST, BROOKLYN, NY 11211-4386
(718) 384-7901
Mailing address
69 CEDAR RD, WESTBURY, NY 11590-2719
(516) 333-0669
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
031497
NY
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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