Individual
BABAK BAMDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 S GATE RD, GREAT NECK, NY 11023-1315
(917) 751-5376
Mailing address
2 S GATE RD, GREAT NECK, NY 11023-1315
(917) 751-5376
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02778300
NJ
Other
Enumeration date
04/10/2010
Last updated
04/10/2010
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