Individual provider · Type 1 NPI
Basira Tola Braimah, RN
Critical Care Medicine Registered Nurse · Hauppauge, NY
NPI number
1790621670
Active
Practice location
772 Terry Rd
Hauppauge, NY 11788-3463
Fax (631) 446-3207
Mailing address
PO Box 5412
Hauppauge, NY 11788-0413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 509109 (NY) |
Critical Care Medicine Registered Nurse: Definition to come...
Another provider at this address
About NPI 1790621670
Basira Tola Braimah, RN's National Provider Identifier is 1790621670, issued on Apr 24, 2026. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Hauppauge, NY. The record was last updated on Apr 24, 2026.