Provider Demographics
NPI:1154874972
Name:AKHTER, NAZMA (PA-C)
Entity type:Individual
Prefix:
First Name:NAZMA
Middle Name:
Last Name:AKHTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4237 HAMPTON ST
Mailing Address - Street 2:6F
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-2663
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4237 HAMPTON ST
Practice Address - Street 2:6F
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-2663
Practice Address - Country:US
Practice Address - Phone:917-257-3867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant