Healthcare Provider Details

I. General information

NPI: 1497500458
Provider Name (Legal Business Name): RESHMI NAIR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2024
Last Update Date: 04/22/2024
Certification Date: 04/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 FORT WASHINGTON AVE
NEW YORK NY
10032-3733
US

IV. Provider business mailing address

36 GARDEN CIR
SYOSSET NY
11791-4803
US

V. Phone/Fax

Practice location:
  • Phone: 929-638-1131
  • Fax:
Mailing address:
  • Phone: 914-715-5150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number579553
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: