Individual
ANNA LIVSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
302 CHURCH AVE, BROOKLYN, NY 11218-3106
(718) 437-7765
Mailing address
302 CHURCH AVE, BROOKLYN, NY 11218-3106
(718) 437-7765
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
047393
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01618446
—
NY
Enumeration date
11/30/2007
Last updated
11/30/2007
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