Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 287809 | NY |
Y | 2086S0102X | Surgical Critical Care | 287809 | NY |
NPI | 1265877468 |
---|---|
Provider Name | Nazia Mashriqi |
First Address | New York, NY 10029-6504 |
Second Address | New York, NY 10029-6504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2013 |
Last Update Date | 21/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04674388 | (05) | NY |