Individual
ALI MOHAMED ELBASHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
5015 ROOSEVELT AVE, WOODSIDE, NY 11377-4458
(718) 426-7572
(718) 426-7805
Mailing address
2910 GLENWOOD RD, APARTMENT 3, BROOKLYN, NY 11210-2632
(734) 883-3529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I057728-1
NY
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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