Individual
MS. AERIEL JYKA MARIE DOMANTAY IRANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2611 WEBSTER AVE, BRONX, NY 10458-4845
(718) 395-4000
Mailing address
2611 WEBSTER AVE, BRONX, NY 10458-4845
(718) 395-4000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
072173
NY
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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