Individual
DR. JAVAID HASSAN IFTIKHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
2216 KIMBALL ST # 6M, BROOKLYN, NY 11234-5111
(718) 743-0610
Mailing address
2216 KIMBALL ST # 6M, BROOKLYN, NY 11234-5111
(718) 743-0610
(423) 214-3102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
691249
NY
363LF0000X
Family Nurse Practitioner
F345244
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402442
NY
Other
Enumeration date
09/09/2014
Last updated
07/16/2025
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