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Individual

CONSUELO JUAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
291 KNICKERBOCKER AVE, BROOKLYN, NY 11237-3103
(718) 456-5475
Mailing address
21819 93RD AVE, QUEENS VILLAGE, NY 11428-1838
(718) 479-6615

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033787
NY

Other

Enumeration date
03/30/2010
Last updated
03/30/2010
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