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NPI Code Detail

MEDICARE: MAYA KFOURY

MEDICARE: MAYA KFOURY
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
1183500000XPharmacist071428NY

General Provider Information

NPI Number : 1538982848
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYA KFOURY
Provider Business Mailing Address
First Line : 121 LAFAYETTE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-1249
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 121 LAFAYETTE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-1249
Country : US
Telephone Number : 718-524-7099
Fax Number : 718-524-5700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2024
Last Update Date : 11/05/2024

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Directions to “ MAYA KFOURY ” Practice Location

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