Koosha Bamdad Valid NPI

Individual provider · Community/Retail Pharmacy · Great Neck, NY

NPI

1215689567

Type

Individual (Type 1)

Primary specialty

Community/Retail Pharmacy (Pharmacy)

Specialty group

Suppliers

Taxonomy code

3336C0003X

Sex

Male

Sole proprietor

Yes

Enumerated

2022-01-18

Last updated

2022-08-08