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Individual

DR. VERONICA GRIVAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2510 30TH AVE, ASTORIA, NY 11102-2448
(718) 932-1000
Mailing address
3004 CRESCENT ST, ASTORIA, NY 11102-3249
(718) 932-1000

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
049810
NY
3336I0012X
Institutional Pharmacy
Primary
049810
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
049810
NY PHARMACIST LICENSE NUMBER
NY
Enumeration date
12/08/2010
Last updated
03/07/2022
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