Individual
MR. BORIS LIDUKHOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
3951 QUEENS BLVD, SUNNYSIDE, NY 11104-3305
(718) 482-0003
(718) 482-1919
Mailing address
3951 QUEENS BLVD, SUNNYSIDE, NY 11104-3305
(718) 482-0003
(718) 482-1919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045584
NY
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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