Individual
MR. BASHIR A SUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2721 BROADWAY, NEW YORK, NY 10025-3940
(212) 866-6700
(212) 866-7129
Mailing address
2721 BROADWAY, NEW YORK, NY 10025-3940
(212) 866-6700
(212) 866-7129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028558
NY
Other
Enumeration date
12/05/2017
Last updated
06/16/2018
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