Provider Demographics
NPI:1326596446
Name:UMARZODA, NAFISA
Entity Type:Individual
Prefix:
First Name:NAFISA
Middle Name:
Last Name:UMARZODA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6515 YELLOWSTONE BLVD APT 1H
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-1771
Mailing Address - Country:US
Mailing Address - Phone:347-235-9775
Mailing Address - Fax:
Practice Address - Street 1:6515 YELLOWSTONE BLVD APT 1H
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-1771
Practice Address - Country:US
Practice Address - Phone:347-235-9775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-18
Last Update Date:2016-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY716409163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse