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NPI Code Detail

MEDICARE: NADEEN ELIYAN FNP-BC

MEDICARE: NADEEN ELIYAN FNP-BC
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
1363LF0000XFamily Nurse PractitionerF354191NY

General Provider Information

NPI Number : 1174355473
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADEEN ELIYAN FNP-BC
Provider Business Mailing Address
First Line : 44 W 28TH ST FL 5
Second Line :
City : NEW YORK
State : NY
Zip : 10001-4212
Country : US
Telephone Number : 212-545-2400
Fax Number : 212-463-8411
Provider Business Practice Location Address
First Line : 2581 ATLANTIC AVE FL 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-2412
Country : US
Telephone Number : 718-495-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2024
Last Update Date : 01/30/2026

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