Individual
ATHENA SUMIN MAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6402 8TH AVE, BROOKLYN, NY 11220-4720
(718) 238-3850
Mailing address
6402 8TH AVE, BROOKLYN, NY 11220-4720
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
066948
NY
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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