Provider Demographics
NPI:1982935748
Name:NASIM, FILZA (RPA-C)
Entity type:Individual
Prefix:MS
First Name:FILZA
Middle Name:
Last Name:NASIM
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 E 14TH ST APT 4D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4361
Mailing Address - Country:US
Mailing Address - Phone:347-275-7486
Mailing Address - Fax:
Practice Address - Street 1:816 8TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4192
Practice Address - Country:US
Practice Address - Phone:718-788-5762
Practice Address - Fax:718-499-3753
Is Sole Proprietor?:No
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013729363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant