Individual
DANIEL MATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
111 DEPOT RD, HUNTINGTON STATION, NY 11746-1723
(631) 271-8821
Mailing address
111 DEPOT RD, HUNTINGTON STATION, NY 11746-1723
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
061966
NY
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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