Provider Demographics
NPI:1760140651
Name:NASIR, NUDAR PARVEEN (RPH, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NUDAR
Middle Name:PARVEEN
Last Name:NASIR
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 FULTON AVE
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-3908
Mailing Address - Country:US
Mailing Address - Phone:516-489-9500
Mailing Address - Fax:
Practice Address - Street 1:362 FULTON AVE
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3908
Practice Address - Country:US
Practice Address - Phone:516-489-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY068672183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist