Individual
CHRISTINE BAVARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1280 DEER PARK AVE, NORTH BABYLON, NY 11703-2716
(631) 242-0416
Mailing address
810 MARCONI BLVD, COPIAGUE, NY 11726-2812
(631) 487-6500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059594
NY
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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