Healthcare Provider Details

I. General information

NPI: 1982565602
Provider Name (Legal Business Name): SYED ALI JAFRI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1094 FLATBUSH AVE
BROOKLYN NY
11226-6271
US

IV. Provider business mailing address

37 BAY RIDGE AVE APT 2R
BROOKLYN NY
11220-5004
US

V. Phone/Fax

Practice location:
  • Phone: 347-305-3100
  • Fax: 347-305-3099
Mailing address:
  • Phone: 347-305-3100
  • Fax: 347-305-3099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number071437
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: