Healthcare Provider Details

I. General information

NPI: 1003088709
Provider Name (Legal Business Name): NISHAD HOQUE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2008
Last Update Date: 07/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1527 PITKIN AVE ZOYA PHARMACY INC
BROOKLYN NY
11212-4516
US

IV. Provider business mailing address

16215 HIGHLAND AVE APT 5B
JAMAICA NY
11432-3460
US

V. Phone/Fax

Practice location:
  • Phone: 718-342-3911
  • Fax: 718-342-3988
Mailing address:
  • Phone: 917-476-9230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number052082
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: