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General NPI Number Information
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NPI Number | 1992145551
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Entity Type | Organization
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Legal Business Name | NASIMA & AHMED LLC
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Dates
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Enumeration Date | 06/27/2013
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 554 LARKFIELD RD STE 10I
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-4205
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Country | US
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Telephone | 631-486-6336
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Fax |
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Provider Business Mailing Address
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Address Line | 554 LARKFIELD RD STE 10I
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-4205
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Country | US
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Telephone | 631-486-6336
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NASIMA AHMED
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Credential | M.D.
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Telephone | 631-942-0817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 231616
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License Number State | NY
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