Healthcare Provider Details

I. General information

NPI: 1760313480
Provider Name (Legal Business Name): NO NAME GIVEN SAFIA SULTANA LPP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SAFIA SULTANA LPP

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

899 WESTCHESTER AVE
BRONX NY
10459-4089
US

IV. Provider business mailing address

2626 HALPERIN AVE
BRONX NY
10461-2631
US

V. Phone/Fax

Practice location:
  • Phone: 718-583-7736
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberP142676
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: