Individual
BAGUM KARIMULLAH GULSHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN AGNP-C
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1383
(607) 272-4011
Mailing address
101 DATES DR, ITHACA, NY 14850-1383
(607) 272-4011
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309424
NY
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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