Mohamed Ibrahim M. Abdellatif, R. PHARMACIST
Individual provider Active NPI Pharmacist · Brooklyn, NY
NPI 1760194658 · NPPES record last updated Dec 22, 2022
Key facts
- NPI
- 1760194658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 069888 (NY)
- Practice address
- 1081 Ruthland Rd
Brooklyn, NY 11212 - Phone
- (425) 260-6096
- NPI assigned
- Dec 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069888 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 069888 | NY | Yes |
Addresses
Primary practice location
1081 Ruthland Rd
Brooklyn, NY 11212
Mailing address
1081 Ruthland Rd
Brooklyn, NY 11212
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.