Individual provider · Type 1 NPI

Behnoosh Nadealizadeh

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

NPI number 1700556966 Active

Practice location

8 Residence Inn Dr Apt 102
Latham, NY 12110-1053

Mailing address

10155 W Sunrise Blvd Apt 104
Plantation, FL 33322-5601

Other practice locations

  • 10155 W Sunrise Blvd Apt 104, Plantation, FL 33322-5601 · (346) 219-7052

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 1700556966

Behnoosh Nadealizadeh's National Provider Identifier is 1700556966, issued on Sep 17, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Latham, NY. The record was last updated on Sep 17, 2021.