Diana Grullon Tavares

NPI 1154862654 · on the registry since 2017 · sole proprietor

Practice

Address: 2240 3rd Ave
New York, NY 10035
Phone: (212) 360-1757
Fax: (917) 675-7055
Organisation at this address: Avn Pharmacy, Inc
Harlem Corner Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-03-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York