Individual
ADEL A NASR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 JERUSALEM AVE, HICKSVILLE, NY 11801-5504
(516) 937-7500
Mailing address
430 JERUSALEM AVE, HICKVILLE, NY 11801
(516) 937-7500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
037191-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01877123
—
NY
Enumeration date
12/19/2007
Last updated
12/19/2007
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