Individual
AEZAT ULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1645 COLUMBIA TPKE, CASTLETON, NY 12033-9535
(518) 477-8166
Mailing address
1645 COLUMBIA TPKE, CASTLETON, NY 12033-9535
(518) 477-8166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
073537-01
NY
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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