| Nasima & Ahmed Llc | |
|
554 Larkfield Rd Ste 10i East Northport NY 11731-4205 | |
| (631) 486-6336 | |
| Not Available |
| Full Name | Nasima & Ahmed Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 554 Larkfield Rd Ste 10i, East Northport, New York |
| Authorized Official Name and Position | Nasima Ahmed (PRESIDENT) |
| Authorized Official Contact | 6319420817 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nasima & Ahmed Llc 554 Larkfield Rd Ste 10i East Northport NY 11731-4205 Ph: (631) 486-6336 | Nasima & Ahmed Llc 554 Larkfield Rd Ste 10i East Northport NY 11731-4205 Ph: (631) 486-6336 |
| NPI Number | 1992145551 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/27/2023 |
| Medicare PECOS PAC ID | 7113243312 |
|---|---|
| Medicare Enrollment ID | O20150305002211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992145551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 231616 (New York) | Primary |
| Provider Name | Nasima Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255422077 PECOS PAC ID: 7618036500 Enrollment ID: I20081106000739 |
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