Individual
ELSA FIKRI BAHIRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 MINEOLA BLVD STE 500, MINEOLA, NY 11501-4074
(516) 663-9500
Mailing address
781 MONROE ST, BROOKLYN, NY 11221-3502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
736632
NY
363L00000X
Nurse Practitioner
Primary
F309123-1
NY
Other
Enumeration date
11/19/2019
Last updated
07/11/2022
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