Individual
NIVEEN BEBAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
510 31ST ST BSMT, UNION CITY, NJ 07087-3907
(201) 866-3322
(201) 866-2289
Mailing address
510 31ST ST BSMT, UNION CITY, NJ 07087-3907
(201) 866-3322
(201) 866-2289
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA09914000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0572594
—
NJ
Enumeration date
07/01/2013
Last updated
03/25/2021
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