Provider Demographics
NPI:1710772561
Name:MERY, UMME KULSUM
Entity type:Individual
Prefix:
First Name:UMME
Middle Name:KULSUM
Last Name:MERY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4215 LAYTON ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-2300
Mailing Address - Country:US
Mailing Address - Phone:646-623-7404
Mailing Address - Fax:
Practice Address - Street 1:4215 LAYTON ST APT 2A
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-2300
Practice Address - Country:US
Practice Address - Phone:646-623-7404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty