Provider Demographics
NPI:1689425522
Name:RABADI, LUJAYN NAJIB MUSA
Entity Type:Individual
Prefix:
First Name:LUJAYN
Middle Name:NAJIB MUSA
Last Name:RABADI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 NORTH AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12569-7943
Mailing Address - Country:US
Mailing Address - Phone:845-635-2222
Mailing Address - Fax:
Practice Address - Street 1:13 NORTH AVE STE 1
Practice Address - Street 2:
Practice Address - City:PLEASANT VALLEY
Practice Address - State:NY
Practice Address - Zip Code:12569-7943
Practice Address - Country:US
Practice Address - Phone:845-635-2222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist