Individual
BERTHA SHIMONOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
883 9TH AVE, NEW YORK, NY 10019-1704
(212) 245-8469
Mailing address
7817 165TH ST, FRESH MEADOWS, NY 11366-1230
(347) 536-0086
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
068606
NY
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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