Most Relevant Information
Provider Data
| NPI Number: | 1003570375 |
| Provider Name: | MONICA GOUDA |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 068312 |
Most Important Dates
| Enumeration Date: | 10/23/2021 |
| Last Updated: | 10/23/2021 |
Provider Practice Location
1517 CORTELYOU RD
BROOKLYN
NY
112265607
Practice Location Phone/Fax
| Phone: | 7182879078 |
| Fax: |
Provider Mailing Location
PO BOX 30676
STATEN ISLAND
NY
103030676
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |