Badriyah Abdur-Rahman, RN
Individual provider Active NPI Registered Nurse · Corona, NY
NPI 1134585797 · NPPES record last updated Jan 12, 2016
Key facts
- NPI
- 1134585797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 596208 (NY)
- Practice address
- 10525 Horace Harding Expy
Corona, NY 11368-4534 - Phone
- (718) 576-4768
- Fax
- (718) 271-7196
- NPI assigned
- Jan 12, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 596208 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 596208 | NY | Yes |
Addresses
Primary practice location
10525 Horace Harding Expy
Corona, NY 11368-4534
Mailing address
854 Hancock St Apt 3
Brooklyn, NY 11233-1367
Phone (718) 271-8383
Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.