Provider Demographics
NPI:1649599689
Name:MOHAMED, HANY (PHARMD, RPH, BCGP)
Entity Type:Individual
Prefix:DR
First Name:HANY
Middle Name:
Last Name:MOHAMED
Suffix:
Gender:M
Credentials:PHARMD, RPH, BCGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 FLORENCE ST
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-1560
Mailing Address - Country:US
Mailing Address - Phone:631-470-9886
Mailing Address - Fax:631-410-0229
Practice Address - Street 1:333 CROSSWAYS PARK DR
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-2066
Practice Address - Country:US
Practice Address - Phone:631-470-9886
Practice Address - Fax:631-410-0229
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-28
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0508541835G0303X, 183500000X
PARP444241183500000X
IL051297191183500000X
CT0010080183500000X
CA70179183500000X
NY35981835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacist
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatricGroup - Single Specialty