MEDICARE: MRS. ORLY ARIELLE DAHAN PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	061139	NY

General Provider Information

NPI Number	:	1417321233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ORLY ARIELLE DAHAN PHARM.D.

Provider Business Mailing Address
First Line	:	1229 E 72ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5816
Country	:	US
Telephone Number	:	347-424-0394
Fax Number	:

Provider Business Practice Location Address
First Line	:	1737 E 174TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-1801
Country	:	US
Telephone Number	:	718-684-2318
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2015
Last Update Date	:	11/17/2015

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Directions to “ MRS. ORLY ARIELLE DAHAN PHARM.D.” Practice Location

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