MEDICARE: FERUZA AKAYA IBRAHIM RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	26NR27687300	NJ

General Provider Information

NPI Number	:	1134076037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERUZA AKAYA IBRAHIM RN

Provider Business Mailing Address
First Line	:	327 E 206TH ST APT 39
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-4082
Country	:	US
Telephone Number	:	314-348-4206
Fax Number	:

Provider Business Practice Location Address
First Line	:	327 E 206TH ST APT 39
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-4082
Country	:	US
Telephone Number	:	314-348-4206
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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