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NPI Code Detail

MEDICARE: NADIA YAQOOB RN

MEDICARE:   NADIA  YAQOOB  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
1163WN0002XNeonatal Intensive Care Registered Nurse785299NY

General Provider Information

NPI Number : 1548846363
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADIA YAQOOB RN
Provider Business Mailing Address
First Line : 400 MCCHESNEY AVE EXT APT 19-12
Second Line :
City : TROY
State : NY
Zip : 12180-8798
Country : US
Telephone Number : 518-238-8622
Fax Number :
Provider Business Practice Location Address
First Line : 400 MCCHESNEY AVE EXT APT 19-12
Second Line :
City : TROY
State : NY
Zip : 12180-8798
Country : US
Telephone Number : 518-238-8622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2021
Last Update Date : 03/22/2021

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Directions to “ NADIA YAQOOB RN” Practice Location

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