Provider Demographics
NPI:1861780249
Name:NOORALI, NOSHEEN SHOUKAT (FNP)
Entity type:Individual
Prefix:
First Name:NOSHEEN
Middle Name:SHOUKAT
Last Name:NOORALI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NOSHEEN
Other - Middle Name:SHOUKAT
Other - Last Name:MEGHANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:30 BROAD ST
Mailing Address - Street 2:45TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-2304
Mailing Address - Country:US
Mailing Address - Phone:212-530-0630
Mailing Address - Fax:212-867-4353
Practice Address - Street 1:30 BROAD ST
Practice Address - Street 2:45TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-2304
Practice Address - Country:US
Practice Address - Phone:212-530-0630
Practice Address - Fax:212-867-4353
Is Sole Proprietor?:No
Enumeration Date:2011-07-19
Last Update Date:2017-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX730760363LF0000X
NY339934363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX852N80OtherBLUE CROSS
TX284171001Medicaid
TX852N80OtherBLUE CROSS