Individual
BASSIRA FAMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3425 VERNON BLVD, ASTORIA, NY 11106-5121
(877) 889-0836
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3467
(718) 992-7669
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
707056
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404700
NY
Other
Enumeration date
07/15/2022
Last updated
05/03/2024
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