Individual
LENA KURUVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11402 15TH AVE, COLLEGE POINT, NY 11356-1452
(718) 961-1634
Mailing address
11402 15TH AVE, COLLEGE POINT, NY 11356-1452
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
054345
NY
Other
Enumeration date
03/18/2017
Last updated
03/18/2017
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