Provider Demographics
NPI:1275355935
Name:MUKHTAR, NUMAIR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NUMAIR
Middle Name:
Last Name:MUKHTAR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 HOWELL RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-1328
Mailing Address - Country:US
Mailing Address - Phone:516-710-9998
Mailing Address - Fax:
Practice Address - Street 1:21220 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-3342
Practice Address - Country:US
Practice Address - Phone:718-281-3223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072144183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist