Provider Demographics
NPI:1821540584
Name:AKTAR, NAFISA
Entity Type:Individual
Prefix:
First Name:NAFISA
Middle Name:
Last Name:AKTAR
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 1:3161 ROCHAMBEAU AVE
Mailing Address - Street 2:APT BSMT
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-3703
Mailing Address - Country:US
Mailing Address - Phone:347-961-2990
Mailing Address - Fax:
Practice Address - Street 1:3161 ROCHAMBEAU AVE
Practice Address - Street 2:APT BSMT
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-3703
Practice Address - Country:US
Practice Address - Phone:347-961-2990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health