Individual
EDWARD GENDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
223 W 14TH ST, NEW YORK, NY 10011-7113
(646) 609-4900
Mailing address
223 W 14TH ST, NEW YORK, NY 10011-7113
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
038233
NY
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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