Individual
DANIELLA ANTOLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
320 E 94TH ST, NEW YORK, NY 10128-5604
(347) 415-7954
Mailing address
18937 45TH DR, FLUSHING, NY 11358-3412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
062903
NY
Other
Enumeration date
08/29/2017
Last updated
03/26/2021
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