Individual
CHRISANTHY MOULINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 DITMARS BLVD, ASTORIA, NY 11105-2304
(718) 721-8666
Mailing address
2213 35TH ST, ASTORIA, NY 11105-2206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
050007
NY
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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