National Provider Identifier
Nour Safa
Nour Safa is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 274-4011.
Profile Overview
- NPI
- 1588430870
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 28, 2023
- Last Updated
- July 25, 2024
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1342
Phone: (607) 274-4011
Mailing Address
- 133 Benmore Dr Ste 100
- Winter Park, FL 32792-4111
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1588430870
- Entity Type
- Individual
- Last Name
- Safa
- First Name
- Nour
- Mailing Street Address
- 133 Benmore Dr Ste 100
- Mailing City
- Winter Park
- Mailing State
- FL
- Mailing ZIP Code
- 32792-4111
- Mailing Country
- US
- Mailing Phone
- (407) 644-4883
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (607) 274-4011
- Enumeration Date
- November 28, 2023
- Last Updated
- July 25, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 25, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)