Healthcare Provider Details

I. General information

NPI: 1376494146
Provider Name (Legal Business Name): TZIPORA BACKMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 6TH ST
BROOKLYN NY
11215-3609
US

IV. Provider business mailing address

593 RUTLAND RD APT 1B
BROOKLYN NY
11203-2090
US

V. Phone/Fax

Practice location:
  • Phone: 412-812-6261
  • Fax:
Mailing address:
  • Phone: 412-812-6261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number776911
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: