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NPI Code Detail

MEDICARE: CLEONA DAWSON

MEDICARE: CLEONA DAWSON
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
1183500000XPharmacist073546NY

General Provider Information

NPI Number : 1811853187
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLEONA DAWSON
Provider Business Mailing Address
First Line : 996 E 53RD ST # 2F
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-1619
Country : US
Telephone Number : 347-430-7604
Fax Number :
Provider Business Practice Location Address
First Line : 2265 RALPH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5611
Country : US
Telephone Number : 347-430-7604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2025
Last Update Date : 12/31/2025

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Directions to “ CLEONA DAWSON ” Practice Location

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