Yusuf Ahmad

Individual provider Active NPI Registered Nurse · Philadelphia, PA

NPI 1255912697 · NPPES record last updated Apr 17, 2021

Key facts

NPI
1255912697
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
457315 (NY)
Practice address
2855 N Reese St
Philadelphia, PA 19133-2732
Phone
(215) 391-2193
NPI assigned
Apr 17, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
457315NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 457315 NY Yes

Addresses

Primary practice location

2855 N Reese St
Philadelphia, PA 19133-2732

Mailing address

2855 N Reese St
Philadelphia, PA 19133-2732
Phone (215) 391-2193

Other providers in Philadelphia, PA

All providers in Philadelphia, PA · Registered Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.