Healthcare Provider Details

I. General information

NPI: 1740702174
Provider Name (Legal Business Name): SALSABIL TONNI HOQUE NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2017
Last Update Date: 03/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 NEW SCOTLAND RD STE 205
SLINGERLANDS NY
12159-9222
US

IV. Provider business mailing address

2015 DOBIE LN
SCHENECTADY NY
12303-6006
US

V. Phone/Fax

Practice location:
  • Phone: 518-475-9235
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF308189-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: