Individual
BASEM SAAD MEKHAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
92 LORRAINE LOOP, STATEN ISLAND, NY 10309
(646) 267-6134
Mailing address
92 LORRAINE LOOP, STATEN ISLAND, NY 10309-1515
(646) 267-6134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
052649
NY
Other
Enumeration date
03/29/2010
Last updated
12/28/2012
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