Provider Demographics
NPI:1558829184
Name:HAJRIZI, BEKIM
Entity Type:Individual
Prefix:
First Name:BEKIM
Middle Name:
Last Name:HAJRIZI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24628 VAN ZANDT AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-1239
Mailing Address - Country:US
Mailing Address - Phone:917-837-4376
Mailing Address - Fax:
Practice Address - Street 1:24628 VAN ZANDT AVE
Practice Address - Street 2:
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11362-1239
Practice Address - Country:US
Practice Address - Phone:917-837-4376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-02
Last Update Date:2019-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344134363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily