Provider Demographics
NPI:1477657708
Name:HALEEM, ABDUL (BS ( PHARM))
Entity Type:Individual
Prefix:
First Name:ABDUL
Middle Name:
Last Name:HALEEM
Suffix:
Gender:M
Credentials:BS ( PHARM)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 RENSSELAER DR
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NE
Mailing Address - Zip Code:14534
Mailing Address - Country:US
Mailing Address - Phone:585-463-2633
Mailing Address - Fax:
Practice Address - Street 1:465 WESTFALL RD
Practice Address - Street 2:VA MEDICAL CENTER
Practice Address - City:ROCHESTER
Practice Address - State:NV
Practice Address - Zip Code:14620-4645
Practice Address - Country:US
Practice Address - Phone:585-463-2633
Practice Address - Fax:585-463-3695
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY28486183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist