Individual
MICHAEL BOSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-9178
Mailing address
259 1ST ST DEPT OF, MINEOLA, NY 11501-3957
(516) 663-9178
Taxonomy
Speciality
Code
Description
License number
State
1835I0206X
Infectious Diseases Pharmacist
Primary
062914
NY
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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