Individual
ANDREW KALODIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 GRAHAM AVE, BROOKLYN, NY 11206-3320
(718) 782-7539
Mailing address
75 ROUTE 299, HIGHLAND, NY 12528-2627
(917) 225-8145
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044912
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044912
NY STATE LICENCE
NY
Enumeration date
11/01/2010
Last updated
11/01/2010
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