Healthcare Provider Details

I. General information

NPI: 1518885508
Provider Name (Legal Business Name): WASFIEH NOFAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

168 COOK AVE
YONKERS NY
10701-5265
US

IV. Provider business mailing address

168 COOK AVE
YONKERS NY
10701-5265
US

V. Phone/Fax

Practice location:
  • Phone: 914-310-1656
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number072477
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: