Individual provider · NPI-1

Marwan Amin Abdullah, r.ph, CNS

Pharmacist, Nutrition Support · Mount Vernon, NY

NPI number1811213804
StatusActive
Last updated in NPPESNov 20, 2023

Details

NPI
1811213804
Entity type
Individual (NPI-1)
Name
Mr. Marwan Amin Abdullah
Credential
r.ph, CNS
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 15, 2010
Certification date
Nov 20, 2023
Last updated
Nov 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835N1003X Pharmacist, Nutrition SupportI046545-1NYYes

Practice location

505 Gramatan Ave.
Mount Vernon, NY 10552

Phone 914-665-5556 · Fax 914-665-5589

Mailing address

505 Gramatan Ave.
Mount Vernon, NY 10552

Phone 914-665-5556 · Fax 914-665-5589

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