Individual
BOHDAN T SHOWTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2900 VETERANS RD W, STATEN ISLAND, NY 10309-2502
(718) 701-6206
(718) 701-6206
Mailing address
2900 VETERANS RD W, STATEN ISLAND, NY 10309-2502
(718) 701-6206
(718) 701-6206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
031355
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006
—
NY
Enumeration date
04/15/2008
Last updated
09/02/2008
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