Individual provider · NPI-1

Taj Ahmad

Nurse Practitioner, Family · Albany, NY

NPI number1134074149
StatusActive
Last updated in NPPESNov 6, 2026

Details

NPI
1134074149
Entity type
Individual (NPI-1)
Name
Taj Ahmad
Sex
Male
Sole proprietor
No
Enumeration date
Mar 4, 2026
Certification date
Nov 6, 2026
Last updated
Nov 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family354949NYYes

Practice location

501 New Karner Rd Ste 1
Albany, NY 12205-3874

Phone 518-393-0391

Mailing address

6 Wellness Way Ste 201
Latham, NY 12110-2156

Phone 518-782-3700

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