Individual
BIJOU KADIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1600 BURRSTONE RD, UTICA, NY 13502-4857
(732) 630-1586
Mailing address
2079 FOREST AVE, STATEN ISLAND, NY 10303-1865
(718) 815-6560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
622286
NY
363LF0000X
Family Nurse Practitioner
350028
NY
363LF0000X
Family Nurse Practitioner
Primary
F350028-01
NY
Other
Enumeration date
12/08/2009
Last updated
09/19/2024
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