National Provider Identifier
Mansour Fareed Abdulky
Mansour Fareed Abdulky is listed in the NPPES registry with a primary specialty of Pharmacist in Ithaca, NY and a listed phone number of (607) 274-4385.
Profile Overview
- NPI
- 1588398598
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- July 14, 2022
- Last Updated
- July 14, 2022
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1342
Phone: (607) 274-4385
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1588398598
- Entity Type
- Individual
- Last Name
- Abdulky
- First Name
- Mansour
- Middle Name
- Fareed
- Mailing Street Address
- 101 Dates Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1342
- Mailing Country
- US
- Mailing Phone
- (607) 274-4385
- Mailing Fax
- (607) 252-3008
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (607) 274-4385
- Enumeration Date
- July 14, 2022
- Last Updated
- July 14, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 14, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)
- Other Identifiers
- 04463609 (NY)