Individual
BRESHNA SEDIQI RASULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6711 164TH ST, FRESH MEADOWS, NY 11365-3162
(516) 407-0835
Mailing address
6711 164TH ST, FRESH MEADOWS, NY 11365-3162
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2898244
NY
Other
Enumeration date
06/03/2025
Last updated
06/28/2025
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