Individual
DR. CLIFTON FREDERICK BANGAREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
6352 108TH ST, FOREST HILLS, NY 11375-1350
(516) 643-3939
Mailing address
120 HANSON PL, MALVERNE, NY 11565-1747
(516) 643-3939
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
063136
NY
Other
Enumeration date
09/26/2017
Last updated
06/16/2018
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