Samuel, John Mina

Samuel, John Mina is an individual health care provider with primary practice located at 301 Route 304 Ste 4 , Bardonia NY 10954-2146. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Samuel, John Mina can be contacted via phone (845) 507-0555.

Contact Information

Primary practice address
301 Route 304 Ste 4 Bardonia NY 10954-2146
Phone: (845) 507-0555
Fax: (845) 507-0012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 056899 New York

Profile Details

NPI number 1790031094
LBN Legal business name Samuel, John Mina
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2012
Last updated May 31st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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