MEDICARE: ADEEL L TOPPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	067676	NY

General Provider Information

NPI Number	:	1114519741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADEEL L TOPPA

Provider Business Mailing Address
First Line	:	3708 POLAR ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-1245
Country	:	US
Telephone Number	:	646-736-9844
Fax Number	:

Provider Business Practice Location Address
First Line	:	3163 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6443
Country	:	US
Telephone Number	:	646-736-9844
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2021
Last Update Date	:	05/03/2024

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