Individual provider · Type 1 NPI

Khadijah Muwwakkil

Student in an Organized Health Care Education/Training Program · Queens Village, NY

NPI number 1417429762 Active

Practice location

20905 Jamaica Ave
Queens Village, NY 11428-1548

Call (347) 542-5813 Map

Fax (718) 445-0951

Mailing address

14202 20th Ave Fl 3
Flushing, NY 11351-3000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417429762

Khadijah Muwwakkil's National Provider Identifier is 1417429762, issued on Dec 27, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Queens Village, NY. The record was last updated on Dec 27, 2018.