Naza Abdelrahman, PHYSICIAN ASSISTANT
Individual provider Active NPI Physician Assistant · Corona, NY
NPI 1265247019 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1265247019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 033276 (NY)
- Practice address
- 3712 108TH St
Corona, NY 11368-2025 - Phone
- (718) 651-4000
- NPI assigned
- Feb 10, 2025
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 033276 | NY | Yes |
Addresses
Primary practice location
3712 108TH St
Corona, NY 11368-2025
Mailing address
3712 108TH St
Corona, NY 11368-2025
Phone (718) 651-4000
Other providers in Corona, NY
- Erika Abanto-Perez
- Awn Abbas
- Seema Naz Abbas
- Alia Abbasi
- Mohamed Abdallah
- Badriyah Abdur-Rahman
- Above All Homehealth Care Services Inc.
- Khadija Abubakar
- Access Family Care, Inc.
- Access Pharmacy Inc
All providers in Corona, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. 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.