Provider Demographics
NPI:1194749606
Name:NORI, SUBHADRA L (MD)
Entity type:Individual
Prefix:
First Name:SUBHADRA
Middle Name:L
Last Name:NORI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:27 CORNCRIB LANE
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577
Mailing Address - Country:US
Mailing Address - Phone:914-954-0503
Mailing Address - Fax:718-883-6342
Practice Address - Street 1:8268 164TH ST
Practice Address - Street 2:QUEENS HOSPITAL CENTER
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-1121
Practice Address - Country:US
Practice Address - Phone:718-883-4313
Practice Address - Fax:718-883-6342
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2012-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYNY148791225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE38242Medicare UPIN