Healthcare Provider Details

I. General information

NPI: 1538007265
Provider Name (Legal Business Name): BASSAM SAADEH PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 COOK AVE
YONKERS NY
10701-5212
US

IV. Provider business mailing address

96 COOK AVE
YONKERS NY
10701-5212
US

V. Phone/Fax

Practice location:
  • Phone: 731-444-9551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number073771
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: