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Individual

AJAY MAGANTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
9738 SEAVIEW AVE, BROOKLYN, NY 11236-5516
(718) 886-6645
(718) 886-6742
Mailing address
9738 SEAVIEW AVE, BROOKLYN, NY 11236-5516
(718) 968-1584
(718) 886-6742

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51447
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01589082
NY
Enumeration date
01/08/2008
Last updated
04/09/2008
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