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Individual

BINH THANH LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S

Contact information

Practice address
911 MORRIS PARK AVE, BRONX, NY 10462-3710
(718) 409-3005
Mailing address
1727 YATES AVE, BRONX, NY 10461-1909
(646) 239-3420

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0501621
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01468280
NY
Enumeration date
12/15/2007
Last updated
12/15/2007
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