Healthcare Provider Details

I. General information

NPI: 1023947702
Provider Name (Legal Business Name): ZANA JAMAL HANINI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 E TREMONT AVE
BRONX NY
10460-4363
US

IV. Provider business mailing address

930 E TREMONT AVE
BRONX NY
10460-4363
US

V. Phone/Fax

Practice location:
  • Phone: 718-860-1111
  • Fax: 888-975-4496
Mailing address:
  • Phone: 718-860-1111
  • Fax: 888-975-4496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP142148
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: