Healthcare Provider Details

I. General information

NPI: 1952868853
Provider Name (Legal Business Name): SAIF ALZOOBAEE PEDIATRICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2019
Last Update Date: 02/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6805 5TH AVE
BROOKLYN NY
11220-6009
US

IV. Provider business mailing address

6805 5TH AVE
BROOKLYN NY
11220-6009
US

V. Phone/Fax

Practice location:
  • Phone: 718-833-7466
  • Fax: 718-833-7465
Mailing address:
  • Phone: 718-833-7466
  • Fax: 718-833-7465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. SAIF ALZOOBAEE
Title or Position: PRESIDENT
Credential: MD
Phone: 718-833-7466