Abdul-Jabbar, Istianah Atifa

Abdul-Jabbar, Istianah Atifa is an sole proprietor health care provider with primary practice located at 58 Floral Ave Apt 10 , Binghamton NY 13905-3244. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Abdul-Jabbar, Istianah Atifa can be contacted via phone (607) 821-8293.

Contact Information

Primary practice address
58 Floral Ave Apt 10 Binghamton NY 13905-3244
Phone: (607) 821-8293
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 309852-1 New York

Profile Details

NPI number 1225372873
LBN Legal business name Abdul-Jabbar, Istianah Atifa
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2012
Last updated Nov 20th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225372873 NPPES
New York Other 309852-1 LICENSED PRACTICAL NURSE

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