Healthcare Provider Details

I. General information

NPI: 1326901299
Provider Name (Legal Business Name): SADIA KARIM RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24056 66TH AVE
LITTLE NECK NY
11362-1925
US

IV. Provider business mailing address

24056 66TH AVE
LITTLE NECK NY
11362-1925
US

V. Phone/Fax

Practice location:
  • Phone: 718-678-5719
  • Fax:
Mailing address:
  • Phone: 718-678-5719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number677711
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: