Fombu, Malcolm

Fombu, Malcolm is an individual health care provider with primary practice located at 10907 101St Ave , Jamaica NY 11419-1029. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Fombu, Malcolm can be contacted via phone (718) 441-9311.

Contact Information

Primary practice address
10907 101St Ave Jamaica NY 11419-1029
Phone: (718) 441-9311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051425-1 New York
Pharmacy Service Providers / Pharmacist 183500000X 025460 Massachusetts
Pharmacy Service Providers / Pharmacist 183500000X 28RI03044200 New Jersey

Profile Details

NPI number 1689703076
LBN Legal business name Fombu, Malcolm
Credentials M.D.,PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2007
Last updated Jul 8th, 2007 - about 18 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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