MEDICARE: DR. AHMED S NASR

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	066877	NY

General Provider Information

NPI Number	:	1376155101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AHMED S NASR

Provider Business Mailing Address
First Line	:	555 OVINGTON AVE APT 24B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-1706
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6002 4TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-4008
Country	:	US
Telephone Number	:	646-272-9049
Fax Number	:

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

Provider Enumeration Date	:	08/21/2020
Last Update Date	:	03/25/2026

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