Individual
BOSHRA SEYEDOLSHOHADAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5000
Mailing address
2 BEAVER CREEK LN, DURHAM, NC 27703-9388
(979) 450-3759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
066656
NY
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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