Healthcare Provider Details

I. General information

NPI: 1942570650
Provider Name (Legal Business Name): BATSHEVA SAIDI FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2012
Last Update Date: 01/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2769 CONEY ISLAND AVE
BROOKLYN NY
11235-5061
US

IV. Provider business mailing address

1129 NORTHERN BLVD
MANHASSET NY
11030-3045
US

V. Phone/Fax

Practice location:
  • Phone: 718-785-9828
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF336893
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: