Individual
ANNA LEYZERENOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
411 DITMAS AVE, BROOKLYN, NY 11218-4919
(718) 435-7101
Mailing address
1890 E 5TH ST APT 3J, BROOKLYN, NY 11223-2848
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051200
NY
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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