Individual
NIXA BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8147 259TH ST, GLEN OAKS, NY 11004-1447
(516) 474-3818
Mailing address
8147 259TH ST, GLEN OAKS, NY 11004-1447
(516) 474-3818
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
I072709
NY
Other
Enumeration date
10/03/2025
Last updated
10/24/2025
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