Healthcare Provider Details

I. General information

NPI: 1336068592
Provider Name (Legal Business Name): NOOR MARY NJEIM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26901 76TH AVE
NEW HYDE PARK NY
11040-1433
US

IV. Provider business mailing address

8205 NARROWS AVE
BROOKLYN NY
11209-2834
US

V. Phone/Fax

Practice location:
  • Phone: 718-470-5935
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835I0206X
TaxonomyInfectious Diseases Pharmacist
License Number069370
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: