Healthcare Provider Details

I. General information

NPI: 1962652776
Provider Name (Legal Business Name): NOHA ELTOUKHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2008
Last Update Date: 09/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 E 23RD ST
NEW YORK NY
10010-5011
US

IV. Provider business mailing address

11 BETSY ROSS DR
FREEHOLD NJ
07728-4222
US

V. Phone/Fax

Practice location:
  • Phone: 212-686-7500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03230300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: