Boodram, Lisa J

Boodram, Lisa J is an individual health care provider with primary practice located at 501 Franklin Ave , Garden City NY 11530-5807. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Boodram, Lisa J can be contacted via phone (516) 307-5895.

Contact Information

Primary practice address
501 Franklin Ave Garden City NY 11530-5807
Phone: (516) 307-5895
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051829 New York

Profile Details

NPI number 1861648222
LBN Legal business name Boodram, Lisa J
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2008
Last updated Oct 23rd, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861648222 NPPES
New York Other 051829 NEW YORK STATE LICENSE

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