Individual
MR. ALEX MIGUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
17317 73RD AVE, FRESH MEADOWS, NY 11366-1401
(516) 776-3558
Mailing address
17317 73RD AVE, FRESH MEADOWS, NY 11366-1401
(516) 776-3558
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
037796
NY
Other
Enumeration date
02/07/2010
Last updated
02/07/2010
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