Syed A Abdali
Individual provider Active NPI Pharmacist · Jackson Heights, NY
NPI 1962685693 · NPPES record last updated Dec 17, 2007
Key facts
- NPI
- 1962685693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 29782 (NY)
- Practice address
- 7117 Roosevelt Ave
Jackson Heights, NY 11372-6136 - Phone
- (718) 899-8200
- Fax
- (718) 899-8202
- NPI assigned
- Dec 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 29782 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1 Stop Pharmacy & Food Mart.Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 29782 | NY | Yes |
Addresses
Primary practice location
7117 Roosevelt Ave
Jackson Heights, NY 11372-6136
Mailing address
7117 Roosevelt Ave
Jackson Heights, NY 11372-6136
Phone (718) 899-8200
Other providers in Jackson Heights, NY
- Richard Allen Aaron
- Wendell Jamias Abad
- Igor Abayev
- Marya Abbas
- Saffiyah Abbasi
- Mazol Abdurakhmanov
- Jahidul Abedin
- Agnes P Abetsi
- Brian Abraham
- Freddy Abrahamson
All providers in Jackson Heights, NY · Pharmacist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2007. 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.