Individual
MS. BIBI FALEENA KHAN SAMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19605 DUNTON AVE, HOLLIS, NY 11423-1405
(929) 253-7545
Mailing address
19605 DUNTON AVE, HOLLIS, NY 11423-1405
(929) 253-7545
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311342-01
NY
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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