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Dr. Sangyoun Bak

Pharmacist in Mineola, NY. Individual provider (NPI-1).

NPI number1780069799
StatusActive
Last updated in NPPESJul 21, 2015

Details

NPI
1780069799
Entity type
Individual (NPI-1)
Name
Dr. Sangyoun Bak
Sex
Male
Sole proprietor
No
Enumeration date
Jul 21, 2015
Last updated
Jul 21, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist060506NYYes

Practice location

149 Beebe Rd
Mineola, NY 11501-2229

Phone 516-581-1959

Mailing address

149 Beebe Rd
Mineola, NY 11501-2229

Phone 516-581-1959

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