Sally Malekzadeh, RN
Registered Nurse in Astoria, NY. Individual provider (NPI-1).
NPI number1164095014
StatusActive
Last updated in NPPESAug 5, 2021
Details
- NPI
- 1164095014
- Entity type
- Individual (NPI-1)
- Name
- Sally Malekzadeh
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2021
- Certification date
- Aug 5, 2021
- Last updated
- Aug 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 818669 | NY | Yes |
Practice location
1923 22nd RdAstoria, NY 11105-3601
Phone 718-813-5746
Mailing address
1923 22nd RdAstoria, NY 11105-3601
Phone 718-813-5746
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