Provider Demographics
NPI:1437543337
Name:ALI, NAHIDA BEGUM (MSED)
Entity Type:Individual
Prefix:
First Name:NAHIDA
Middle Name:BEGUM
Last Name:ALI
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 W 56TH ST
Mailing Address - Street 2:APT 8G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3547
Mailing Address - Country:US
Mailing Address - Phone:347-653-8722
Mailing Address - Fax:
Practice Address - Street 1:520 W 56TH ST
Practice Address - Street 2:APT 8G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3547
Practice Address - Country:US
Practice Address - Phone:347-653-8722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-27
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY958969152174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist