Provider Demographics
NPI:1225360571
Name:GIDDENS, ABDULLAH HALIMA (LPN)
Entity type:Individual
Prefix:MS
First Name:ABDULLAH
Middle Name:HALIMA
Last Name:GIDDENS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 RED SCHOOLHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10977-7031
Mailing Address - Country:US
Mailing Address - Phone:845-620-0606
Mailing Address - Fax:845-620-9056
Practice Address - Street 1:168 RED SCHOOLHOUSE RD
Practice Address - Street 2:
Practice Address - City:CHESTNUT RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10977-7031
Practice Address - Country:US
Practice Address - Phone:845-620-0606
Practice Address - Fax:845-620-9056
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY190563-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse