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Individual

TRINA SUE STIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
3920 BELL BLVD, BAYSIDE, NY 11361-2061
(718) 224-2606
(718) 224-8083
Mailing address
21353 35TH AVE APT 1, BAYSIDE, NY 11361-1766
(718) 306-4559

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30138009
NY

Other

Enumeration date
04/20/2021
Last updated
04/21/2021
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