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NPI Provider: 1174520779
Contact Name: LIBERMAN JEFFREY
Position: OWNER AND SUP PHARMACIST
Phone: (718) 738-4343
158-44 Crossbay Blvd Inc Information:
158-44 Crossbay Blvd Inc organization have npi 1174520779, taxonomy code is 333600000X with license number is 18639 in . This Business address located in 15844 Crossbay Blvd, Howard Beach, NY 11414 New York. Get directions of 158-44 Crossbay Blvd Inc.
Practice Location
Address: 15844 Crossbay Blvd, Howard Beach, NY 11414
Phone: (718) 738-4343
Business Location
Address: 15844 Crossbay Blvd, Howard Beach, NY 11414
Phone: (405) 313-8879
Fax: (816) 461-6586
Taxonomy
Taxonomy Code: 333600000X
License Number: 18639
License Number of State: NY
Primary Taxonomy Switch: X
Enumeration Date: 6/28/2005
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