Individual
NIRVANA ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PHARMD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 745-3306
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
070069-01
NY
Other
Enumeration date
05/21/2026
Last updated
06/01/2026
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