Healthcare Provider Details

I. General information

NPI: 1649349390
Provider Name (Legal Business Name): HUMAIRA ZAFAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 03/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3632 NOSTRAND AVE
BROOKLYN NY
11229-5305
US

IV. Provider business mailing address

PO BOX 29083
NEW YORK NY
10087-9083
US

V. Phone/Fax

Practice location:
  • Phone: 718-332-4409
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number231796
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: