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Individual

DR. DIANA RALLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
202 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4011
(516) 287-7618
(516) 933-8043
Mailing address
202 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4011
(516) 287-7618

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
059542
NY

Other

Enumeration date
12/14/2020
Last updated
12/14/2020
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