Nasim, Abu M

Nasim, Abu M is an individual health care provider with primary practice located at 17035 93Rd Ave Fl 1 , Jamaica NY 11433-1208. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Nasim, Abu M can be contacted via phone (646) 873-0152.

Contact Information

Primary practice address
17035 93Rd Ave Fl 1 Jamaica NY 11433-1208
Phone: (646) 873-0152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1233566181 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 024162 New York

Profile Details

NPI number 1770078214
LBN Legal business name Nasim, Abu M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2018
Last updated Feb 14th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1770078214 NPPES
New York MEDICAID 07232520

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