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Individual

MR. CHRISTOPHER ANTHONY BASSOLINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1260 MADISON AVE, 90TH ST. PHARMACY, NEW YORK, NY 10128
(212) 289-9168
(212) 427-3320
Mailing address
3 KRISTEN CT, WAYNE, NJ 07470-5061
(973) 831-8647

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
32348
NY

Other

Enumeration date
10/20/2011
Last updated
10/20/2011
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