Individual
JENNIFER PREMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(917) 741-4945
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
062740
NY
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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