Provider Demographics
NPI:1184442774
Name:ABDELGHFFAR, YOMNA HISHAM
Entity type:Individual
Prefix:
First Name:YOMNA
Middle Name:HISHAM
Last Name:ABDELGHFFAR
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 1:4323 40TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-3853
Mailing Address - Country:US
Mailing Address - Phone:347-462-6630
Mailing Address - Fax:
Practice Address - Street 1:750 AVE AMERICAS
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-2716
Practice Address - Country:US
Practice Address - Phone:646-336-8388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071661183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist