Doctor Name: | MISS KHALEDA KARENA NIZAM |
NPI Number: | 1134436918 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 570607-1 |
Business Practice Address: | 8466 257th St Floral Park, NY - 110011004 |
Business Phone Number: | 2128516910 |
Business Fax Number: | |
Mailing Address: | 84-66 257 Street, FLORAL PARK |
State: | NY |
Postal Code: | 11001 |
Phone Number: | 2128516910 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2010 |
NPI Last Update Date: | 09/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 570607-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |