Individual
DR. ANNA MATEO-JEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4407 BROADWAY, NEW YORK, NY 10040-4014
(212) 543-2333
Mailing address
4407 BROADWAY, NEW YORK, NY 10040-4014
(212) 543-2333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045704
NY
Other
Enumeration date
09/02/2010
Last updated
09/15/2010
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