Ghanniaiman, Safoorah
Ghanniaiman, Safoorah is an sole proprietor health care provider with primary practice located at 11441 132Nd St , S Ozone Park NY 11420-2109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ghanniaiman, Safoorah can be contacted via phone (347) 653-5476.Contact Information
Primary practice address
11441 132Nd St
S Ozone Park NY 11420-2109
Phone: (347) 653-5476
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 345172 | New York |
Profile Details
| NPI number | 1649996679 |
|---|---|
| LBN Legal business name | Ghanniaiman, Safoorah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2022 |
| Last updated | Oct 12th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649996679 | NPPES |
| New York | MEDICAID | 345172 |
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