Individual
DANIEL BASTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2141 45 NOSTRAND AVE, BROOKLYN, NY 11210
(718) 434-1211
(718) 859-6751
Mailing address
914 EASTERN PKWY, BROOKLYN, NY 11213-3618
(646) 285-2592
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045080-1
NY
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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