Koosha Bamdad
Koosha Bamdad is a Community/Retail Pharmacy in Great Neck, New York. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
621 Middle Neck RdGreat Neck, NY 11023-1245
Phone: (516) 730-8990
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Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X |
|---|
Record details
| NPI number | 1215689567 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 18, 2022 |
| Last updated in NPPES | August 8, 2022 |
| Certification date | August 8, 2022 |
| Mailing address | 621 Middle Neck Rd, Great Neck, NY 11023-1245 |
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