Individual
DEA CENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
9701 LIBERTY AVE, OZONE PARK, NY 11417-1651
(718) 835-8383
Mailing address
2371 23RD ST FL 2, ASTORIA, NY 11105-3407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
073699
NY
Other
Enumeration date
03/21/2026
Last updated
03/21/2026
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