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NPI Code Detail

MEDICARE: MR. NADER BARSOUM PHARMACIST

MEDICARE: MR. NADER BARSOUM PHARMACIST
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
1183500000XPharmacist039407NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437472263
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NADER BARSOUM PHARMACIST
Provider Business Mailing Address
First Line : 38 WOODLAND RD
Second Line :
City : ROSLYN
State : NY
Zip : 11576-1434
Country : US
Telephone Number : 917-815-4917
Fax Number :
Provider Business Practice Location Address
First Line : 2474 HEMPSTEAD TPKE
Second Line :
City : EAST MEADOW
State : NY
Zip : 11554-2136
Country : US
Telephone Number : 516-731-2483
Fax Number : 516-735-1581
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2010
Last Update Date : 07/12/2022

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