Individual
DR. JUSTICE Y KWANSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-4801
Mailing address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-4801
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0651301
NY
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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