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Individual

DR. BIJU THARIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
2601 OCEAN PARKWAY, BROOKLYN, NY 11235
(718) 616-3000
Mailing address
2455 WEST ST, BROOKLYN, NY 11223-5917
(718) 891-9756

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
049394
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
049394
NEW YORK STATE LICENSE
NY
Enumeration date
09/22/2008
Last updated
09/22/2008
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