Provider Demographics
NPI:1295185403
Name:MOHAMED ELFEKY, NEHAL (PHARMD)
Entity Type:Individual
Prefix:
First Name:NEHAL
Middle Name:
Last Name:MOHAMED ELFEKY
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 1:135 DAHLGREN PL
Mailing Address - Street 2:3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3603
Mailing Address - Country:US
Mailing Address - Phone:646-462-6968
Mailing Address - Fax:
Practice Address - Street 1:135 DAHLGREN PL
Practice Address - Street 2:3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3603
Practice Address - Country:US
Practice Address - Phone:646-462-6968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-18
Last Update Date:2016-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061539183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist