Individual
MS. BAZHENA FIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
75 CHRISTOPHER ST, NEW YORK, NY 10014-4236
(212) 627-2662
(212) 627-4782
Mailing address
139 HYLAN BLVD, FL2, STATEN ISLAND, NY 10305-2005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
055954
NY
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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