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NPI Code Detail

MEDICARE: MS. SURAVI AHMED PHARM. D.

MEDICARE: MS. SURAVI AHMED PHARM. D.
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
1183500000XPharmacist049400NY

General Provider Information

NPI Number : 1972765261
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SURAVI AHMED PHARM. D.
Provider Business Mailing Address
First Line : 35 MORRIS DR
Second Line :
City : SYOSSET
State : NY
Zip : 11791-6413
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 460 3RD AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10016-6027
Country : US
Telephone Number : 212-521-0052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2008
Last Update Date : 06/27/2008

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