Individual
BRANDON SUMMER XIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2510 30TH AVE, LONG ISLAND CITY, NY 11102-2418
(718) 932-1000
Mailing address
1821 79TH ST, BROOKLYN, NY 11214-1711
(646) 203-9227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
064715
NY
Other
Enumeration date
10/12/2018
Last updated
04/21/2020
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