Individual
DR. EVIA ALIKAJ NANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 PELHAM PKWY S, BLD 1 4 NW, BRONX, NY 10461-1138
(718) 918-5747
(718) 918-7035
Mailing address
1400 PELHAM PKWY S, BLD 1 4 NW, BRONX, NY 10461-1138
(718) 918-5747
(718) 918-7035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
236436
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02771704
—
NY
Enumeration date
11/06/2006
Last updated
12/11/2012
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