Provider Demographics
NPI:1639341696
Name:ABDULLAH, LATIFA ZAKIYA
Entity Type:Individual
Prefix:MS
First Name:LATIFA
Middle Name:ZAKIYA
Last Name:ABDULLAH
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 1:1692 LARCH CT
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-3142
Mailing Address - Country:US
Mailing Address - Phone:914-739-1325
Mailing Address - Fax:914-402-4418
Practice Address - Street 1:1692 LARCH CT
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-3142
Practice Address - Country:US
Practice Address - Phone:914-739-1325
Practice Address - Fax:914-402-4418
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY173266164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse