Healthcare Provider Details

I. General information

NPI: 1326959875
Provider Name (Legal Business Name): SILVIA ABDELMALAK
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1578 MAIN AVE
CLIFTON NJ
07011-2160
US

IV. Provider business mailing address

1578 MAIN AVE
CLIFTON NJ
07011-2160
US

V. Phone/Fax

Practice location:
  • Phone: 862-247-3377
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04466200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: