Individual
DANIEL KAYUMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6336 BOURTON ST, REGO PARK, NY 11374-2819
(347) 886-6144
Mailing address
6336 BOURTON ST, REGO PARK, NY 11374-2819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
070941
NY
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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