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Individual

MR. CHARLES B. FISHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
3306 92ND ST APT 1M, JACKSON HEIGHTS, NY 11372-1808
(718) 507-8799
Mailing address
3306 92ND ST APT 1M, JACKSON HEIGHTS, NY 11372-1808

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
22302
CA
183500000X
Pharmacist
Primary
23889
NY

Other

Enumeration date
06/07/2010
Last updated
11/03/2010
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