Provider Demographics
NPI:1730995549
Name:ABBAS, EMAN H (RD)
Entity type:Individual
Prefix:
First Name:EMAN
Middle Name:H
Last Name:ABBAS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4730 59TH ST APT 4A
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-5502
Mailing Address - Country:US
Mailing Address - Phone:347-557-9488
Mailing Address - Fax:
Practice Address - Street 1:4730 59TH ST APT 4A
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-5502
Practice Address - Country:US
Practice Address - Phone:347-557-9488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered