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Individual

MR. MARWAN AMIN ABDULLAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH, CNS

Contact information

Practice address
505 GRAMATAN AVE., MOUNT VERNON, NY 10552
(914) 665-5556
(914) 665-5589
Mailing address
505 GRAMATAN AVE., MOUNT VERNON, NY 10552
(914) 665-5556
(914) 665-5589

Taxonomy

Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
I046545-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01914543
NY
01
16326
CBNS
Enumeration date
04/15/2010
Last updated
11/20/2023
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