Provider Demographics
NPI:1407558810
Name:AKHTAR, NOSHIN RUMALI
Entity Type:Individual
Prefix:
First Name:NOSHIN
Middle Name:RUMALI
Last Name:AKHTAR
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 1:14825 89TH AVE APT 4V
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-3568
Mailing Address - Country:US
Mailing Address - Phone:929-350-3946
Mailing Address - Fax:
Practice Address - Street 1:14825 89TH AVE APT 4V
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-3568
Practice Address - Country:US
Practice Address - Phone:929-350-3946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator