Individual
ALLA YASHAYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6257 84TH PL, MIDDLE VILLAGE, NY 11379-2015
(917) 348-2657
Mailing address
6257 84TH PL, MIDDLE VILLAGE, NY 11379-2015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
058708
NY
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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