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Individual

NARIK NEKTALOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1398 GRAND CONCOURSE, BRONX, NY 10456-1220
(718) 588-3333
(718) 588-3334
Mailing address
1398 GRAND CONCOURSE, BRONX, NY 10456-1220
(718) 588-3333
(718) 588-3334

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
035106
STATE LICENCE
05
04770816
NY
Enumeration date
02/01/2019
Last updated
02/01/2019
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