Individual
ALIK ILYADZHANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11514 BEACH CHANNEL DR, ROCKAWAY PARK, NY 11694-2206
(718) 318-5000
Mailing address
11514 BEACH CHANNEL DR, ROCKAWAY PARK, NY 11694-2206
(718) 318-5000
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
12/30/2013
Last updated
01/23/2014
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