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NPI Code Detail

MEDICARE: AMIR DANDAN PHARM D.

MEDICARE: AMIR DANDAN 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
1183500000XPharmacist065291NY

General Provider Information

NPI Number : 1982267779
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIR DANDAN PHARM D.
Provider Business Mailing Address
First Line : 8 BAY RIDGE AVE APT 5
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-5086
Country : US
Telephone Number : 347-661-8666
Fax Number :
Provider Business Practice Location Address
First Line : 8510 3RD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-4610
Country : US
Telephone Number : 718-680-9855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2019
Last Update Date : 04/17/2019

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Directions to “ AMIR DANDAN PHARM D.” Practice Location

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