Provider Demographics
NPI:1699155846
Name:NAHAR, KAMRUN
Entity type:Individual
Prefix:
First Name:KAMRUN
Middle Name:
Last Name:NAHAR
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 1:3720 87TH ST APT 4G
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-7507
Mailing Address - Country:US
Mailing Address - Phone:347-819-8722
Mailing Address - Fax:
Practice Address - Street 1:3720 87TH ST APT 4G
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7507
Practice Address - Country:US
Practice Address - Phone:347-819-8722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst