Awadallah, Robert Kennedy

Awadallah, Robert Kennedy is an individual health care provider with primary practice located at 200 Belle Terre Rd , Port Jefferson NY 11777-1968. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Nuclear, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Awadallah, Robert Kennedy can be contacted via phone (631) 474-6000.

Contact Information

Primary practice address
200 Belle Terre Rd Port Jefferson NY 11777-1968
Phone: (631) 474-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Nuclear 1835N0905X 046732-1 New York
Pharmacy Service Providers / Pharmacist 183500000X 046732-1 New York

Profile Details

NPI number 1043855596
LBN Legal business name Awadallah, Robert Kennedy
Credentials PHARM.D, ANP, MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2019
Last updated Nov 7th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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