Healthcare Provider Details

I. General information

NPI: 1750118717
Provider Name (Legal Business Name): SOSTHENIA HEKANOU PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 09/16/2024
Certification Date: 09/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

346 E 29TH ST APT LC
BROOKLYN NY
11226-7086
US

IV. Provider business mailing address

346 E 29TH ST APT LC
BROOKLYN NY
11226-7086
US

V. Phone/Fax

Practice location:
  • Phone: 646-725-4941
  • Fax:
Mailing address:
  • Phone: 646-725-4941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number071909
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: