Healthcare Provider Details

I. General information

NPI: 1982935748
Provider Name (Legal Business Name): FILZA NASIM RPA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2010
Last Update Date: 01/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 8TH AVE
BROOKLYN NY
11215-4192
US

IV. Provider business mailing address

1025 E 14TH ST APT 4D
BROOKLYN NY
11230-4361
US

V. Phone/Fax

Practice location:
  • Phone: 718-788-5762
  • Fax: 718-499-3753
Mailing address:
  • Phone: 347-275-7486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number013729
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: