Provider Demographics
NPI:1053727560
Name:ABID, JOSEPH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:ABID
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 LOTT LN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-7846
Mailing Address - Country:US
Mailing Address - Phone:718-612-2779
Mailing Address - Fax:732-530-0285
Practice Address - Street 1:642 - NEWMAN SPRINGS RD
Practice Address - Street 2:PHARMACY
Practice Address - City:LINCROFT
Practice Address - State:NJ
Practice Address - Zip Code:07732
Practice Address - Country:US
Practice Address - Phone:718-982-5757
Practice Address - Fax:732-530-0285
Is Sole Proprietor?:No
Enumeration Date:2014-07-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03346400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist