Individual
JESSICA SNEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5051
Mailing address
434 W 47TH ST APT 1E, NEW YORK, NY 10036-2326
(540) 455-8576
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
061235-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061235-01
THE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT
NY
Enumeration date
09/19/2022
Last updated
09/19/2022
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