Provider Demographics
NPI:1003597444
Name:ABDELGHANY, NOHA (RPH)
Entity Type:Individual
Prefix:DR
First Name:NOHA
Middle Name:
Last Name:ABDELGHANY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1779 2ND AVE APT 11D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3635
Mailing Address - Country:US
Mailing Address - Phone:917-640-3179
Mailing Address - Fax:
Practice Address - Street 1:1779 2ND AVE APT 11D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3635
Practice Address - Country:US
Practice Address - Phone:917-640-3179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053202333600000X
NJ28RI04279100333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy