MEDICARE: NACHAMA ABDELHAK RN

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	163WS0200X	School Registered Nurse	699397-1	NY

General Provider Information

NPI Number	:	1962084921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NACHAMA ABDELHAK RN

Provider Business Mailing Address
First Line	:	941 E 27TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3727
Country	:	US
Telephone Number	:	718-791-4140
Fax Number	:

Provider Business Practice Location Address
First Line	:	941 E 27TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3727
Country	:	US
Telephone Number	:	718-791-4140
Fax Number	:

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

Provider Enumeration Date	:	04/28/2021
Last Update Date	:	04/28/2021

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