Individual
BIBI ALI-MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-4000
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
428819-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F337817-1
NY
Other
Enumeration date
09/18/2015
Last updated
08/19/2021
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