MEDICARE: HOREEN ASLAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	359222	NY

General Provider Information

NPI Number	:	1598612392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOREEN ASLAM

Provider Business Mailing Address
First Line	:	5711 KENNEDY BLVD N STE 313
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-3294
Country	:	US
Telephone Number	:	860-804-6593
Fax Number	:

Provider Business Practice Location Address
First Line	:	5711 KENNEDY BLVD N STE 313
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-3294
Country	:	US
Telephone Number	:	860-804-6593
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “ HOREEN ASLAM ” Practice Location

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