Individual
MISS ANN JAILALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W END AVE, NEW YORK, NY 10023-4801
(212) 496-4198
Mailing address
3029 12 ST., L.I.C., NY 11104-2002
(718) 626-9761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
052924-1
NY
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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