MEDICARE: NAEIM ALCHAMI-OUSMAN

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	047860	NY

General Provider Information

NPI Number	:	1750613378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAEIM ALCHAMI-OUSMAN

Provider Business Mailing Address
First Line	:	100 MACKAY PL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-1104
Country	:	US
Telephone Number	:	718-238-6061
Fax Number	:

Provider Business Practice Location Address
First Line	:	2108 3RD AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-2103
Country	:	US
Telephone Number	:	212-987-1372
Fax Number	:

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

Provider Enumeration Date	:	02/06/2010
Last Update Date	:	02/07/2010

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Directions to “ NAEIM ALCHAMI-OUSMAN ” Practice Location

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