Provider Demographics
NPI:1972332716
Name:SAFIA BOTI NP IN FAMILY HEALTH PRACTICE PC
Entity type:Organization
Organization Name:SAFIA BOTI NP IN FAMILY HEALTH PRACTICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAFIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOTI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:347-865-9490
Mailing Address - Street 1:380 NEPTUNE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-8094
Mailing Address - Country:US
Mailing Address - Phone:718-989-9711
Mailing Address - Fax:347-548-9904
Practice Address - Street 1:380 NEPTUNE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-8094
Practice Address - Country:US
Practice Address - Phone:718-989-9711
Practice Address - Fax:347-548-9904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty