Individual
KAZI NUSRAT TAMANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(347) 741-4962
Mailing address
10435 102ND ST APT A1, OZONE PARK, NY 11417-2240
(347) 741-4962
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P107222
NY
2084P0800X
Psychiatry Physician
Primary
P107222
NY
Other
Enumeration date
10/02/2020
Last updated
02/04/2025
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