Individual
DR. CARLY MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3450 WAYNE AVE APT 28M, BRONX, NY 10467-2554
(979) 571-5257
Mailing address
3450 WAYNE AVE APT 28M, BRONX, NY 10467-2554
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
058656-1
NY
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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