Provider Demographics
NPI:1700054269
Name:ATTIA, SANAA W (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SANAA
Middle Name:W
Last Name:ATTIA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 ARTHUR KILL RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-1135
Mailing Address - Country:US
Mailing Address - Phone:718-984-8172
Mailing Address - Fax:718-984-9434
Practice Address - Street 1:2730 ARTHUR KILL RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-1135
Practice Address - Country:US
Practice Address - Phone:718-984-8172
Practice Address - Fax:718-984-9434
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040420183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist