Healthcare Provider Details

I. General information

NPI: 1730009986
Provider Name (Legal Business Name): BLOSSOM NP FAMILY HEALTH CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 7TH ST
STATEN ISLAND NY
10306-2927
US

IV. Provider business mailing address

43 7TH ST
STATEN ISLAND NY
10306-2927
US

V. Phone/Fax

Practice location:
  • Phone: 929-423-6233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ARSHAD MAHMOOD
Title or Position: OWNER
Credential:
Phone: 929-423-6233