Individual
BANAN DEYAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7209 NORTHERN BOULEVARD, JACKSON HEIGHTS, NY 11372
(718) 533-8434
Mailing address
8607 91ST AVENUE, WOODHAVEN, NY 11421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
070087
NY
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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