JENICA RESHMA BOODHRAM NPI 1053098814

NPI Information

NPI: 1053098814
Provider Name: JENICA RESHMA BOODHRAM
Classification: Registered Nurse - 163WC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
10452 107TH ST
OZONE PARK, NY
ZIP 11417
Phone: (917) 776-2148
Get Directions

Jenica Reshma Boodhram is a critical care medicine registered nurse in Ozone Park, NY. Jenica Reshma Boodhram NPI is 1053098814. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10452 107TH ST
OZONE PARK, NY
ZIP 11417-315
Phone: (917) 776-2148

The enumeration date for this NPI number is 7/3/2023 and was last updated on 7/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	661650-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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