Healthcare Provider Details

I. General information

NPI: 1952153801
Provider Name (Legal Business Name): SUNITA GHIMIRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2024
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 WATERS PL STE 1203
BRONX NY
10461-2735
US

IV. Provider business mailing address

10651 95TH ST
OZONE PARK NY
11417-1541
US

V. Phone/Fax

Practice location:
  • Phone: 718-239-6987
  • Fax:
Mailing address:
  • Phone: 646-330-8476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF353180-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: