Individual
ABIN MATHEW THANNICKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2155 3RD AVE, NEW YORK, NY 10035-4707
(212) 534-9781
Mailing address
1710 BROADWAY, NEW HYDE PARK, NY 11040-4056
(516) 554-7861
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
067672
NY
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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