Individual
MR. ANGELO JOSEPH ILLUZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
6932 JUNIPER VALLEY RD, MIDDLE VILLAGE, NY 11379-1722
(917) 415-8613
Mailing address
6932 JUNIPER VALLEY RD, MIDDLE VILLAGE, NY 11379-1722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33354
NY
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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