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1568794261
LAWRENCE JAY SUSSMAN
MELVILLE, NY
NPI
1568794261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 026401)
Enumeration Date
2010-02-04
Last Update Date
2010-02-04
Business Address
Mr. LAWRENCE JAY SUSSMAN R.PH.
459 WALT WHITMAN RD
MELVILLE, NY 11747-2106
Phone number: 631-421-5454
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Mailing Address
Mr. LAWRENCE JAY SUSSMAN R.PH.
432 MADEIRA BLVD
MELVILLE, NY 11747-5212
Phone number: 631-367-3821
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