Provider Demographics
NPI:1114666054
Name:ELSAYED, SAMMY (RPH)
Entity Type:Individual
Prefix:
First Name:SAMMY
Middle Name:
Last Name:ELSAYED
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1498 YORK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0703
Mailing Address - Country:US
Mailing Address - Phone:212-879-8990
Mailing Address - Fax:212-879-9656
Practice Address - Street 1:1498 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0703
Practice Address - Country:US
Practice Address - Phone:212-879-8990
Practice Address - Fax:212-879-9656
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-31
Last Update Date:2024-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04243400183500000X
NY069897183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist