Individual
DR. AHMED ELBANEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 WILKESBARRE ST APT 1, LACKAWANNA, NY 14218-1125
(716) 352-7566
Mailing address
28 WILKESBARRE ST APT 1, LACKAWANNA, NY 14218-1125
(716) 352-7566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
067338
NY
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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