Provider Demographics
NPI:1104514561
Name:BENHALIMA, NORAH SOUMIA (RN)
Entity type:Individual
Prefix:
First Name:NORAH
Middle Name:SOUMIA
Last Name:BENHALIMA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 FINLAY AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-3513
Mailing Address - Country:US
Mailing Address - Phone:347-981-1396
Mailing Address - Fax:
Practice Address - Street 1:39 FINLAY AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-3513
Practice Address - Country:US
Practice Address - Phone:347-981-1396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY850610163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse