Irwin Sussman, pharmacist
Pharmacist in Staten Island, NY. Individual provider (NPI-1).
NPI number1144404229
StatusActive
Last updated in NPPESAug 30, 2008
Details
- NPI
- 1144404229
- Entity type
- Individual (NPI-1)
- Name
- Irwin Sussman
- Credential
- pharmacist
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 25, 2007
- Last updated
- Aug 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 031073 | NY | Yes |
Practice location
1579 Forest AveStaten Island, NY 10302-2226
Phone 718-420-0360
Mailing address
1579 Forest AveStaten Island, NY 10302-2226
Phone 718-420-0360
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