Individual
MOSES BRULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3921 9TH AVE, BROOKLYN, NY 11232
(718) 435-7790
Mailing address
3921 9TH AVE, BROOKLYN, NY 11232-3207
(718) 435-7790
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
032681
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03870537
—
NY
Enumeration date
03/15/2018
Last updated
03/15/2018
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