Fahim, Mirit A

Fahim, Mirit A is an individual health care provider with primary practice located at 1 Vermont Dr , New Hyde Park NY 11042-1128. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Fahim, Mirit A can be contacted via phone (877) 501-0108.

Contact Information

Primary practice address
1 Vermont Dr New Hyde Park NY 11042-1128
Phone: (877) 501-0108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 055204-1 New York

Profile Details

NPI number 1912426792
LBN Legal business name Fahim, Mirit A
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2017
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912426792 NPPES
New York Other 055204-1 PHARMACIST LICENSE
New York Other 28RI03247400 PHARMACIST LICENSE

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