Provider Demographics
NPI:1992559512
Name:ELNAGDY, AHMED MOUSTAFA (RPH)
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:MOUSTAFA
Last Name:ELNAGDY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 ANDREWS ST # 2F
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-4301
Mailing Address - Country:US
Mailing Address - Phone:347-520-2869
Mailing Address - Fax:
Practice Address - Street 1:55 ANDREWS ST # 2F
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-4301
Practice Address - Country:US
Practice Address - Phone:347-520-2869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071436183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist