Provider Demographics
NPI:1083973242
Name:MASIH, NIRMAL (RN)
Entity Type:Individual
Prefix:
First Name:NIRMAL
Middle Name:
Last Name:MASIH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CHERYL LN
Mailing Address - Street 2:
Mailing Address - City:EAST PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-4210
Mailing Address - Country:US
Mailing Address - Phone:631-758-0118
Mailing Address - Fax:
Practice Address - Street 1:16 CHERYL LN
Practice Address - Street 2:
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-4210
Practice Address - Country:US
Practice Address - Phone:631-758-0118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY546635163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse