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Individual

BRIAN CONNOLLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3424 KOSSUTH AVE, BRONX, NY 10467-2489
(718) 519-3575
(718) 519-2496
Mailing address
3424 KOSSUTH AVE, BRONX, NY 10467-2489
(718) 519-3575
(718) 519-2496

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
032412
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00246171
NY
Enumeration date
12/20/2019
Last updated
12/20/2019
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