Individual
ALESIA KHAFIZOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 MERMAID AVE, BROOKLYN, NY 11224-2006
(718) 333-2525
Mailing address
3741 MAPLE AVE, BROOKLYN, NY 11224-1311
(347) 517-8897
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
062051
NY
Other
Enumeration date
08/05/2016
Last updated
11/08/2024
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