Organization
DIRECT DNA CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA NERYAEV RPH (PHARMACIST)
(917) 517-3950
Entity
Organization
Contact information
Practice address
8022 192ND ST, HOLLIS, NY 11423-1043
(917) 517-3950
(917) 517-3950
Mailing address
8022 192ND ST, HOLLIS, NY 11423-1043
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
048089
NY
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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