Individual
AMIRA AWADALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15315 79 AVE, FLUSHING, NY 11367
(516) 312-2399
Mailing address
15315 79TH AVE, FLUSHING, NY 11367-3933
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
047827
NY
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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