Individual
ANDREA FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS PHARM
Contact information
Practice address
3501 AMBOY RD, STATEN ISLAND, NY 10306
(718) 227-0667
Mailing address
43 ALLEN PL, STATEN ISLAND, NY 10312-5901
(718) 948-3873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044679
NY
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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