IVAN JOHN PHILIPOSE

NEW HYDE PARK, NY
NPI1134765258
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CT  PCT.0014251)
Enumeration Date2019-11-24
Last Update Date2019-11-24
Business Address
IVAN JOHN PHILIPOSE
1410 BROADWAY
NEW HYDE PARK, NY 11040-4224
Phone number: 516-902-6492
Mailing Address
IVAN JOHN PHILIPOSE
910 SUMMER ST
STAMFORD, CT 06905-5502
Phone number: 516-902-6492