Individual
DR. EDWIN GRUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1983 MARCUS AVE, NEW HYDE PARK, NY 11042-2000
(516) 562-6000
Mailing address
2160 47TH ST, ASTORIA, NY 11105-1308
(646) 637-5935
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
069398
NY
1835P1200X
Pharmacotherapy Pharmacist
Primary
3169922
NY
Other
Enumeration date
08/30/2022
Last updated
08/27/2024
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