Individual
ADA SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7020 ROCKAWAY BEACH BLVD, ARVERNE, NY 11692-1272
(718) 318-6285
(844) 411-6852
Mailing address
7020 ROCKAWAY BEACH BLVD, ARVERNE, NY 11692-1272
(718) 318-6285
(844) 411-6852
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
050497
NY
Other
Enumeration date
02/05/2010
Last updated
06/30/2022
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