Healthcare Provider Details

I. General information

NPI: 1851630560
Provider Name (Legal Business Name): RAYHANA DHULKIFL R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2013
Last Update Date: 02/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8268 164TH ST CANCER CENTER 5TH FLOOR
JAMAICA NY
11432-1121
US

IV. Provider business mailing address

8268 164TH ST CANCER CENTER 5TH FLOOR
JAMAICA NY
11432-1121
US

V. Phone/Fax

Practice location:
  • Phone: 718-883-3797
  • Fax:
Mailing address:
  • Phone: 718-883-3797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number663676
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: