Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 311154 | NY |
NPI | 1144755273 |
---|---|
Provider Name | Tanzina Nashid |
First Address | Roslyn Heights, NY 11577-1537 |
Second Address | Roslyn Heights, NY 11577-1537 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2017 |
Last Update Date | 30/06/2021 |