Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 262726 | NY |
NPI | 1588972863 |
---|---|
Provider Name | Dr. Farzana Nuruzzaman |
First Address | Stony Brook, NY 11790-0989 |
Second Address | East Setauket, NY 11733-9202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2010 |
Last Update Date | 19/08/2016 |