ILYEVU KALONTAROV

FOREST HILLS, NY
NPI1922320027
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NY  053042)
Enumeration Date2010-02-17
Last Update Date2015-12-11
Business Address
-- ILYEVU KALONTAROV RPH
10225 67TH DR APT 5W
FOREST HILLS, NY 11375-2874
Phone number: 631-319-6877
Mailing Address
-- ILYEVU KALONTAROV RPH
102-25 67 DRIVE APT 5W
FOREST HILLS, NY 11375
Phone number: 631-319-6877
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