Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | F350441 | NY |
NPI | 1114567187 |
---|---|
Provider Name | Sharifa Zia |
First Address | Flushing, NY 11354-1439 |
Second Address | Manhasset, NY 11030-3816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2020 |
Last Update Date | 08/01/2020 |