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Individual

DR. ROYA SONGHORIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM-D

Contact information

Practice address
143 COLONIAL RD, GREAT NECK, NY 11021-2714
(516) 482-0006
Mailing address
143 COLONIAL RD, GREAT NECK, NY 11021-2714
(516) 482-0006

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0427221
NY
1835P1200X
Pharmacotherapy Pharmacist
Primary
0427221
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0427221
NY
Enumeration date
07/03/2019
Last updated
07/03/2019
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