Individual
DR. ANTHONY SHARAFUTDINOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 CLEMENS CENTER PKWY, ELMIRA, NY 14901-1563
(607) 737-5090
Mailing address
1100 CLEMENS CENTER PKWY, ELMIRA, NY 14901-1563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
070825
NY
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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