Individual
DR. BIBIN SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
2674 HUBBARD ST, BROOKLYN, NY 11235-6215
(718) 877-9909
Mailing address
2674 HUBBARD ST, BROOKLYN, NY 11235-6215
(718) 877-9909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
057330
NY
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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