Provider Demographics
NPI:1295017259
Name:AYOUBI, DOAA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DOAA
Middle Name:
Last Name:AYOUBI
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 1:12 LOGGING RD
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-3609
Mailing Address - Country:US
Mailing Address - Phone:917-536-6054
Mailing Address - Fax:
Practice Address - Street 1:12 LOGGING RD
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-3609
Practice Address - Country:US
Practice Address - Phone:917-536-6054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055824170100000X, 1835C0207X, 1835P0018X, 1835X0200X, 208U00000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics
No1835C0207XPharmacy Service ProvidersPharmacistCompounded Sterile Preparations
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835X0200XPharmacy Service ProvidersPharmacistOncology
No208U00000XAllopathic & Osteopathic PhysiciansClinical Pharmacology