Individual
BASANT ABUELMAGD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 LUCILLE AVE, STATEN ISLAND, NY 10309-1669
(347) 951-2757
Mailing address
175 LUCILLE AVE, STATEN ISLAND, NY 10309-1669
(347) 951-2757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
069695
NY
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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