Individual
ARASH EBRAHIM-HAKKAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 INDIAN HEAD RD, KINGS PARK, NY 11754-3701
(631) 544-4530
Mailing address
22 HARVARD ST, ROSLYN HEIGHTS, NY 11577-2408
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051187
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01731608
—
NY
Enumeration date
11/19/2007
Last updated
11/19/2007
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