Individual
ANN YACOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2087 WANTAGH AVE, WANTAGH, NY 11793-3913
(516) 224-3015
Mailing address
2971 SHORE DR, MERRICK, NY 11566-5224
(646) 300-3968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
065064
NY
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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