Suboor Azimi Valid NPI
Individual provider · Pharmacist · Glen Cove, NY
- NPI
- 1003545377
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 068386 (NY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2022-06-10
- Last updated
- 2022-06-10
Practice location
101 Saint Andrews Ln
Glen Cove, NY 11542-2263
(516) 674-7300