Individual provider · NPI-1

Elsa Fikri Bahiru

Nurse Practitioner · Mineola, NY

NPI number1851937445
StatusActive
Last updated in NPPESJul 11, 2022

Details

NPI
1851937445
Entity type
Individual (NPI-1)
Name
Elsa Fikri Bahiru
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 19, 2019
Certification date
Jul 11, 2022
Last updated
Jul 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerF309123-1NYYes
163W00000X Registered Nurse736632NY

Practice location

120 Mineola Blvd Ste 500
Mineola, NY 11501-4074

Phone 516-663-9500

Mailing address

781 Monroe St
Brooklyn, NY 11221-3502

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