Individual
DR. ABU M NASIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
17035 93RD AVE FL 1, JAMAICA, NY 11433-1208
(646) 873-0152
Mailing address
17035 93RD AVE FL 1, JAMAICA, NY 11433-1208
(646) 873-0152
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
024162
NY
103TS0200X
School Psychologist
1233566181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07232520
—
NY
Enumeration date
06/27/2018
Last updated
02/14/2023
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