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NPI Code Detail

MEDICARE: DR. NUR E TASHMIAH ISLAM MD

MEDICARE: DR. NUR E TASHMIAH ISLAM MD
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
1208000000XPediatrics Physician345315NY

General Provider Information

NPI Number : 1720781222
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NUR E TASHMIAH ISLAM MD
Provider Business Mailing Address
First Line : 2601 OCEAN PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-7745
Country : US
Telephone Number : 718-616-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2601 OCEAN PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-7745
Country : US
Telephone Number : 718-616-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2023
Last Update Date : 06/21/2026

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