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NPI Code Detail

MEDICARE: ZANNATUL FERDOUS

MEDICARE: ZANNATUL FERDOUS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1700685294
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZANNATUL FERDOUS
Provider Business Mailing Address
First Line : 6301 RIVERDALE AVE
Second Line :
City : BRONX
State : NY
Zip : 10471-1046
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6301 RIVERDALE AVE
Second Line :
City : BRONX
State : NY
Zip : 10471-1046
Country : US
Telephone Number : 718-405-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2025
Last Update Date : 03/10/2025

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Directions to “ ZANNATUL FERDOUS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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