Individual
AMRITA MISIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
215-19 73RD AVE, BAYSIDE, NY 11364
(718) 428-8200
Mailing address
215-19 73RD AVE, BAYSIDE, NY 11364
(917) 974-6866
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I050602-1
NY
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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