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1700054483
DOMENICK COFFARO
STATEN ISLAND, NY
NPI
1700054483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 034009-1)
Enumeration Date
2008-02-14
Last Update Date
2008-02-14
Business Address
Mr. DOMENICK COFFARO
1351 FOREST AVE
STATEN ISLAND, NY 10302-2027
Phone number: 718-448-6758
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Mailing Address
Mr. DOMENICK COFFARO
11 CYPRESS LOOP
STATEN ISLAND, NY 10309-1676
Phone number: 718-948-1316
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