Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Feb 26, 2026
License(s)
073748 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1101 TOMPKINS AVE | Staten Island, NY 10305-4615 | |
| LOCATION | 6923 4TH AVE | Brooklyn, NY 11209-1501 | 718-333-5356 |
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