Individual
ANDREA SOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 PETITE PL, GLEN COVE, NY 11542-2918
(646) 623-5873
Mailing address
3 PETITE PL, GLEN COVE, NY 11542-2918
(646) 623-5873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07140901
NY
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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