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1235153628
MICHAEL SLAVA BASSANELL
FOREST HILLS, NY
NPI
1235153628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 049875)
Enumeration Date
2006-07-27
Last Update Date
2008-11-30
Business Address
Dr. MICHAEL SLAVA BASSANELL pharm d
11253 QUEENS BLVD
FOREST HILLS, NY 11375-5554
Phone number: 718-575-9482
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Mailing Address
Dr. MICHAEL SLAVA BASSANELL pharm d
6433 99TH ST APT 1B
REGO PARK, NY 11374-3563
Phone number: 718-275-1949
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