Provider Demographics
NPI:1417761123
Name:ZIADY, MERNA GERGES ADEB (PHARMD)
Entity type:Individual
Prefix:
First Name:MERNA
Middle Name:GERGES ADEB
Last Name:ZIADY
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 1:6101 PALMETTO ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-3324
Mailing Address - Country:US
Mailing Address - Phone:347-552-9580
Mailing Address - Fax:
Practice Address - Street 1:454 5TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4003
Practice Address - Country:US
Practice Address - Phone:718-768-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072464183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist