Individual
BRIAN TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 NATHAN D PERLMAN PL, NEW YORK, NY 10003-3851
(212) 420-3969
Mailing address
10 NATHAN D PERLMAN PL, NEW YORK, NY 10003-3851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
062075
NY
Other
Enumeration date
09/22/2016
Last updated
05/04/2017
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