Igor Mosheyev
Pharmacist in Corona, NY. Individual provider (NPI-1).
NPI number1023291069
StatusActive
Last updated in NPPESAug 24, 2009
Details
- NPI
- 1023291069
- Entity type
- Individual (NPI-1)
- Name
- Igor Mosheyev
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2007
- Last updated
- Aug 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 046355 | NY | Yes |
Practice location
10111 Roosevelt AveCorona, NY 11368-4833
Phone 718-779-6600 · Fax 718-779-6602
Mailing address
10111 Roosevelt AveCorona, NY 11368-4833
Phone 718-779-6600 · Fax 718-779-6602
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