Provider Demographics
NPI:1679099048
Name:ELABBASY, AHMED SAMMY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:SAMMY
Last Name:ELABBASY
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 1:3038 30TH ST APT 1L
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-2209
Mailing Address - Country:US
Mailing Address - Phone:347-935-1456
Mailing Address - Fax:
Practice Address - Street 1:301 W 50TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-0002
Practice Address - Country:US
Practice Address - Phone:212-247-8384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-17
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY063264183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist