Provider Demographics
NPI:1881634178
Name:HALIMI, NADIA
Entity Type:Individual
Prefix:DR
First Name:NADIA
Middle Name:
Last Name:HALIMI
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:CMR 470
Mailing Address - Street 2:HANAU DENTAL CLINIC
Mailing Address - City:APO AE
Mailing Address - State:NY
Mailing Address - Zip Code:09165
Mailing Address - Country:US
Mailing Address - Phone:952-294-3565
Mailing Address - Fax:
Practice Address - Street 1:CMR 470
Practice Address - Street 2:HANAU DENTAL CLINIC
Practice Address - City:APO AE
Practice Address - State:NY
Practice Address - Zip Code:09165
Practice Address - Country:US
Practice Address - Phone:952-294-3565
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND11617122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist