Individual
DAVID ANDREW PRUSSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
158 W 44TH ST, APT. 2C, NEW YORK, NY 10036-4019
(816) 506-9900
Mailing address
158 W 44TH ST, APT. 2C, NEW YORK, NY 10036-4019
(816) 506-9900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP042187L
PA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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