Provider Demographics
NPI:1982818837
Name:YUSUFF, BIBI SHAFFIROON (RN)
Entity Type:Individual
Prefix:
First Name:BIBI
Middle Name:SHAFFIROON
Last Name:YUSUFF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107-19 111TH STREET
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-2417
Mailing Address - Country:US
Mailing Address - Phone:718-738-2813
Mailing Address - Fax:
Practice Address - Street 1:162-11 96 ST
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH QUEENS
Practice Address - State:NY
Practice Address - Zip Code:11414
Practice Address - Country:US
Practice Address - Phone:718-641-3568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY505048163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02681125Medicaid