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Individual

KANIZ A IRTAZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH

Contact information

Practice address
2601 OCEAN PKWY, CONEY ISLAND HOSPITA, BROOKLYN, NY 11235-7745
(718) 616-4080
Mailing address
1486 ROYCE ST, BROOKLYN, NY 11234-5924
(718) 382-5755

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
043160
NY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
043160
NY
1835P1300X
Psychiatric Pharmacist
Primary
043160
NY

Other

Enumeration date
03/15/2010
Last updated
03/16/2010
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