Individual
BRIAN DITHOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 CENTRAL AVE, ALBANY, NY 12206-1302
(518) 704-2489
Mailing address
5 PINION PINE LN, QUEENSBURY, NY 12804-9012
(516) 754-0321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
033.0134547
VT
183500000X
Pharmacist
Primary
068009
NY
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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