Islam, Shahruma

Islam, Shahruma is an sole proprietor health care provider with primary practice located at 600 5Th Ave , New Hyde Park NY 11040-5450. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Islam, Shahruma can be contacted via phone (847) 305-0810.

Contact Information

Primary practice address
600 5Th Ave New Hyde Park NY 11040-5450
Phone: (847) 305-0810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 727884 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 403742 New York

Profile Details

NPI number 1942874771
LBN Legal business name Islam, Shahruma
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2021
Last updated Oct 8th, 2021 - about 3 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.

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