Provider Demographics
NPI:1215705975
Name:AHMAD, SADIA (NP)
Entity type:Individual
Prefix:
First Name:SADIA
Middle Name:
Last Name:AHMAD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 POST ST
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-2565
Mailing Address - Country:US
Mailing Address - Phone:914-258-0280
Mailing Address - Fax:
Practice Address - Street 1:944 N BROADWAY STE 208
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1317
Practice Address - Country:US
Practice Address - Phone:914-258-0280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF351012-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily