Individual
BHAVIN D. ANTALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
883 9TH AVE, NEW YORK, NY 10019-1704
(212) 845-8469
Mailing address
883 9TH AVE, NEW YORK, NY 10019-1704
(212) 845-8469
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059065
NY
Other
Enumeration date
11/22/2013
Last updated
05/14/2024
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