MEDICARE: ABDEL NOFAL

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	101YS0200X	School Counselor
2	183700000X	Pharmacy Technician

General Provider Information

NPI Number	:	1316608607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDEL NOFAL

Provider Business Mailing Address
First Line	:	168 COOK AVE
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10701-5265
Country	:	US
Telephone Number	:	914-619-8913
Fax Number	:

Provider Business Practice Location Address
First Line	:	2935 3RD AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-2642
Country	:	US
Telephone Number	:	914-619-8913
Fax Number	:

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

Provider Enumeration Date	:	01/07/2022
Last Update Date	:	01/10/2022

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Directions to “ ABDEL NOFAL ” Practice Location

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