Individual
MS. NAZISH B KHALID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SRNA, RN
Contact information
Practice address
265 HERRICK RD, SOUTHAMPTON, NY 11968-5045
(631) 726-8350
Mailing address
PO BOX 626, GREAT RIVER, NY 11739-0626
(631) 907-2186
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
702683
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
133958
NY
Other
Enumeration date
03/21/2019
Last updated
06/08/2021
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