Individual
ARTUR KHODZHAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3110 LONG BEACH RD, OCEANSIDE, NY 11572-3200
(516) 992-8449
Mailing address
3110 LONG BEACH RD, OCEANSIDE, NY 11572-3200
(516) 992-8449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
066365
NY
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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