Individual
BAN SON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
423 E 23RD ST, PHARMACY/119, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
314 MEADOWBROOK RD, WYCKOFF, NJ 07481-3438
(201) 891-4893
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30609
NY
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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