Individual
CHANIE FASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9110 FLATLANDS AVE, BROOKLYN, NY 11236-3617
(718) 614-7559
Mailing address
1127 E 31ST ST, BROOKLYN, NY 11210-4732
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
064570
NY
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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