Koosha Bamdad
NPI #1215689567 in Great Neck, New York
Provider Information
- NPI Number
- 1215689567
- Entity Type
- Individual
- Name
- Koosha Bamdad
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 18, 2022
- Last Updated
- Aug 8, 2022
Practice Location
- Address
- 621 MIDDLE NECK RD
- City
- Great Neck
- State
- New York
- ZIP Code
- 11023-1245
- Phone
- (516) 730-8990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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