Provider Demographics
NPI:1811253685
Name:ELDSOKY, AMROU HUSSIEN (PHARMACIST)
Entity type:Individual
Prefix:
First Name:AMROU
Middle Name:HUSSIEN
Last Name:ELDSOKY
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 WOODCREST RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10303-1730
Mailing Address - Country:US
Mailing Address - Phone:347-404-1628
Mailing Address - Fax:
Practice Address - Street 1:4232 BAYCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-2124
Practice Address - Country:US
Practice Address - Phone:718-325-3100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-05
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056381183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist