Provider Demographics
NPI:1275964009
Name:YUSIFU, SALAMAT (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:SALAMAT
Middle Name:
Last Name:YUSIFU
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 FOX ST APT 4E
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-2078
Mailing Address - Country:US
Mailing Address - Phone:718-902-0768
Mailing Address - Fax:
Practice Address - Street 1:1133 WESTCHESTER AVE STE N-230
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-3522
Practice Address - Country:US
Practice Address - Phone:201-978-2911
Practice Address - Fax:646-224-8779
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-04
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY763308163WS0200X
NY316868164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No164W00000XNursing Service ProvidersLicensed Practical Nurse