Provider Demographics
NPI:1023365483
Name:BEHEIRY, NAGLAA (PHARMD, RPH, MS)
Entity type:Individual
Prefix:DR
First Name:NAGLAA
Middle Name:
Last Name:BEHEIRY
Suffix:
Gender:F
Credentials:PHARMD, RPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10150-0072
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:909 3RD AVE
Practice Address - Street 2:FDR STATION # 72
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10150-0072
Practice Address - Country:US
Practice Address - Phone:212-000-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-04
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056335183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist