Individual
DALIA GHORAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 JERICHO TPKE, MINEOLA, NY 11501-2901
(516) 739-2408
Mailing address
3134 34TH ST, APT. 3F, ASTORIA, NY 11106-1789
(646) 247-7381
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
055163
NY
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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