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Individual

ARAFATH SHAMSUDDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3627 30TH ST APT 2F, ASTORIA, NY 11106-3216
(347) 666-8088
Mailing address
3627 30TH ST APT 2F, ASTORIA, NY 11106-3216
(347) 666-8088

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1059840-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1059840-1
LICENSE
NY
Enumeration date
12/15/2014
Last updated
12/15/2014
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