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NPI Code Detail

MEDICARE: JONIDA NACI RPH

MEDICARE: JONIDA NACI RPH
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
1183500000XPharmacist058633NY

General Provider Information

NPI Number : 1790100634
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONIDA NACI RPH
Provider Business Mailing Address
First Line : 2532 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-4439
Country : US
Telephone Number : 718-946-6490
Fax Number : 718-266-2074
Provider Business Practice Location Address
First Line : 2532 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-4439
Country : US
Telephone Number : 718-946-6490
Fax Number : 718-266-2074
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2014
Last Update Date : 02/14/2023

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