Individual provider · NPI-1

Dr. Eliana Abboudi, PharmD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number1780205690
StatusActive
Last updated in NPPESMay 1, 2020

Details

NPI
1780205690
Entity type
Individual (NPI-1)
Name
Dr. Eliana Abboudi
Credential
PharmD
Sex
Female
Sole proprietor
No
Enumeration date
May 1, 2020
Certification date
May 1, 2020
Last updated
May 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

111 E 210th St
Bronx, NY 10467-2401

Phone 718-920-2341

Mailing address

111 E 210th St
Bronx, NY 10467-2401

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