Sofia-Marie Etzel

NPI #1629634696 in North Baldwin, New York

Provider Information

NPI Number: 1629634696
Entity Type: Individual
Name: Sofia-Marie Etzel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: May 15, 2019
Last Updated: May 15, 2019

Practice Location

Address: 1829 GRAND AVE
City: North Baldwin
State: New York
ZIP Code: 11510-2453
Phone: (516) 378-7645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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