Provider Demographics
NPI:1750835575
Name:AHMAD, NOORUL AIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:NOORUL AIN
Middle Name:
Last Name:AHMAD
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 1:6119 223RD PL
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2328
Mailing Address - Country:US
Mailing Address - Phone:347-279-6830
Mailing Address - Fax:
Practice Address - Street 1:1445 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-2400
Practice Address - Country:US
Practice Address - Phone:516-354-9136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062043183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist