Most Relevant Information
Provider Data
| NPI Number: | 1003644246 |
| Provider Name: | NABEL RAJAB BASHA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/22/2024 |
| Last Updated: | 07/22/2024 |
Provider Practice Location
100 WOODS RD
VALHALLA
NY
105951530
Practice Location Phone/Fax
| Phone: | 9144936613 |
| Fax: |
Provider Mailing Location
100 WOODS RD RM C347
VALHALLA
NY
105951530
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |