Provider Demographics
NPI:1164793667
Name:AKTER, FATEMA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:FATEMA
Middle Name:
Last Name:AKTER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9422 90TH AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-2752
Mailing Address - Country:US
Mailing Address - Phone:917-331-9937
Mailing Address - Fax:
Practice Address - Street 1:9422 90TH AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-2752
Practice Address - Country:US
Practice Address - Phone:917-331-9937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-16
Last Update Date:2012-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055925183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist