Individual provider · NPI-1

Salima Koubek, FNP

Nurse Practitioner, Family · Islandia, NY

NPI number1962224493
StatusActive
Last updated in NPPESOct 28, 2024

Details

NPI
1962224493
Entity type
Individual (NPI-1)
Name
Salima Koubek
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 28, 2024
Certification date
Oct 27, 2024
Last updated
Oct 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family350055NYYes

Practice location

200 Corporate Plz Ste A-103
Islandia, NY 11749-1552

Phone 631-514-3900

Mailing address

166 Grand Blvd
Massapequa Park, NY 11762-2336

Phone 516-491-1661

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in Islandia, NY