Healthcare Provider Details

I. General information

NPI: 1689451924
Provider Name (Legal Business Name): CAREFIRSTMEDICALCENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 LAKEVIEW AVE
CLIFTON NJ
07011-4041
US

IV. Provider business mailing address

57 LAKEVIEW AVE
CLIFTON NJ
07011-4041
US

V. Phone/Fax

Practice location:
  • Phone: 862-591-1195
  • Fax:
Mailing address:
  • Phone: 862-591-1195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. YOUSEF ZIBDIE
Title or Position: OWNER
Credential: MD
Phone: 862-591-1195