Healthcare Provider Details

I. General information

NPI: 1932945151
Provider Name (Legal Business Name): BARAAH JAFAR PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2024
Last Update Date: 07/08/2024
Certification Date: 07/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 WESTCHESTER AVE
PURCHASE NY
10577-2574
US

IV. Provider business mailing address

263 E 1ST ST
CLIFTON NJ
07011-1603
US

V. Phone/Fax

Practice location:
  • Phone: 914-831-4100
  • Fax:
Mailing address:
  • Phone: 973-907-4997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number067469
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: