Provider Demographics
NPI:1831846948
Name:HAMID, ALICIA SHAKIRA (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:SHAKIRA
Last Name:HAMID
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2200 NORTHERN BLVD STE 133
Mailing Address - Street 2:
Mailing Address - City:GREENVALE
Mailing Address - State:NY
Mailing Address - Zip Code:11548-1226
Mailing Address - Country:US
Mailing Address - Phone:516-352-8100
Mailing Address - Fax:516-352-7348
Practice Address - Street 1:2200 NORTHERN BLVD STE 133
Practice Address - Street 2:
Practice Address - City:GREENVALE
Practice Address - State:NY
Practice Address - Zip Code:11548-1226
Practice Address - Country:US
Practice Address - Phone:516-352-8100
Practice Address - Fax:516-352-7348
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF04210645363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily