Organization
CLEAR VIEW NP IN PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHRUMA ISLAM NP (OWNER)
(847) 305-0810
Entity
Organization
Contact information
Practice address
4016 74TH ST, ELMHURST, NY 11373-5602
(718) 682-7090
Mailing address
600 5TH AVE, NEW HYDE PARK, NY 11040-5450
(847) 305-0810
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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