Provider Demographics
NPI:1679371512
Name:YOUSSEF, ADEL
Entity type:Individual
Prefix:
First Name:ADEL
Middle Name:
Last Name:YOUSSEF
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-3611
Mailing Address - Country:US
Mailing Address - Phone:862-772-3871
Mailing Address - Fax:862-772-3903
Practice Address - Street 1:851 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-3611
Practice Address - Country:US
Practice Address - Phone:862-772-3871
Practice Address - Fax:862-772-3903
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RW04482800183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician