Individual
MISS KHALEDA KARENA NIZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8466 257TH ST, FLORAL PARK, NY 11001-1004
(212) 851-6910
Mailing address
84-66 257 STREET, FLORAL PARK, NY 11001
(212) 851-6910
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
570607-1
NY
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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