Individual
BRIAN FOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7130 MYRTLE AVE, GLENDALE, NY 11385-7260
(718) 456-0100
(718) 456-0300
Mailing address
7223 73RD ST, GLENDALE, NY 11385-7344
(917) 892-7418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059404
NY
Other
Enumeration date
07/22/2014
Last updated
11/22/2014
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