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Individual

MOSAMMAT SHAHANARA KHATUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
7834 160TH ST, FRESH MEADOWS, NY 11366
(646) 264-8847
Mailing address
7834 160TH ST, FRESH MEADOWS, NY 11366
(646) 264-8847

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
535555
NY

Other

Enumeration date
09/25/2025
Last updated
09/25/2025
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