Individual
AMTUL A ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
290 GREEN ACRES RD, VALLEY STREAM, NY 11581-1508
(516) 568-7810
Mailing address
290 GREEN ACRES RD, VALLEY STREAM, NY 11581-1508
(516) 568-7810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
046371-1
NY
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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