Provider Demographics
NPI:1619767803
Name:NAIR, PREETHY (RN)
Entity type:Individual
Prefix:
First Name:PREETHY
Middle Name:
Last Name:NAIR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:PREETHY
Other - Middle Name:
Other - Last Name:NAIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PREETHY NAIR
Mailing Address - Street 1:940 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2822
Mailing Address - Country:US
Mailing Address - Phone:646-667-8940
Mailing Address - Fax:
Practice Address - Street 1:7925 WINCHESTER BLVD
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-2128
Practice Address - Country:US
Practice Address - Phone:718-264-4041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY561682207RI0200X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty