Provider Demographics
NPI:1255830493
Name:HYDER, NOOSRAT BINTHE (PHARM D)
Entity Type:Individual
Prefix:
First Name:NOOSRAT
Middle Name:BINTHE
Last Name:HYDER
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 1:8535 169TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-2629
Mailing Address - Country:US
Mailing Address - Phone:347-200-7824
Mailing Address - Fax:
Practice Address - Street 1:63 NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2172
Practice Address - Country:US
Practice Address - Phone:631-427-0152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY063313183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist