Provider Demographics
NPI:1154048437
Name:NAWAR, NANZIBA
Entity type:Individual
Prefix:
First Name:NANZIBA
Middle Name:
Last Name:NAWAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 W 141ST ST APT 41
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-6956
Mailing Address - Country:US
Mailing Address - Phone:347-969-0754
Mailing Address - Fax:
Practice Address - Street 1:617 W 141ST ST APT 41
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-6956
Practice Address - Country:US
Practice Address - Phone:347-969-0754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst