Provider Demographics
NPI:1144771171
Name:RABBAT, SAHAR AHMED (PHARMD)
Entity Type:Individual
Prefix:
First Name:SAHAR
Middle Name:AHMED
Last Name:RABBAT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 SHRUB HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-3108
Mailing Address - Country:US
Mailing Address - Phone:516-637-9736
Mailing Address - Fax:
Practice Address - Street 1:18 SHRUB HOLLOW RD
Practice Address - Street 2:
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576-3108
Practice Address - Country:US
Practice Address - Phone:516-637-9736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-14
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061989183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist