MEDICARE: RANA FIKRY ELSAYED DARDIER

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	067568	NY

General Provider Information

NPI Number	:	1932797834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANA FIKRY ELSAYED DARDIER

Provider Business Mailing Address
First Line	:	197 BAY 31ST ST FL 3
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-5605
Country	:	US
Telephone Number	:	929-339-5009
Fax Number	:

Provider Business Practice Location Address
First Line	:	197 BAY 31ST ST FL 3
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-5605
Country	:	US
Telephone Number	:	929-339-5009
Fax Number	:

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

Provider Enumeration Date	:	01/06/2021
Last Update Date	:	01/06/2021

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