Individual
BURHAN IMTIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
963 BROADWAY, BROOKLYN, NY 11221-8872
(347) 374-2627
Mailing address
963 BROADWAY, BROOKLYN, NY 11221-8872
(347) 374-2627
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
073785
NY
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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