Individual
AFRODITE CONNIE GOURTZELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1706 PARKVIEW AVE, BRONX, NY 10461-5003
(929) 459-0342
Mailing address
1706 PARKVIEW AVE, BRONX, NY 10461-5003
(929) 459-0342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042236-1
NY
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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