Individual
AFSHA GOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
741 COLUMBUS AVE, NEW YORK, NY 10025-6461
(212) 316-0436
Mailing address
741 COLUMBUS AVE, NEW YORK, NY 10025-6461
(212) 316-0436
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
064508
NY
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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