Tayyebeh Nahid Borogerdi, FNP
Nurse Practitioner, Family in Vestal, NY. Individual provider (NPI-1).
NPI number1346598950
StatusActive
Last updated in NPPESMar 18, 2021
Details
- NPI
- 1346598950
- Entity type
- Individual (NPI-1)
- Name
- Tayyebeh Nahid Borogerdi
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2012
- Certification date
- Mar 18, 2021
- Last updated
- Mar 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 337552 | NY | Yes |
| 363LW0102X | Nurse Practitioner, Women's Health | 0337552 | NY |
Practice location
3101 Shippers RdVestal, NY 13850-2080
Phone 607-786-4822 · Fax 607-251-2010
Mailing address
105 Ridgehaven DriveVestal, NY 13850
Phone 607-786-4822
Other practice locations
105 Ridgehaven Drive
Vestal, NY 13850
Vestal, NY 13850
Phone 607-786-4822
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