Healthcare Provider Details

I. General information

NPI: 1336931922
Provider Name (Legal Business Name): BABAR GULZAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 8TH AVE
BROOKLYN NY
11220-4718
US

IV. Provider business mailing address

1906 W 9TH ST APT 11
BROOKLYN NY
11223-2509
US

V. Phone/Fax

Practice location:
  • Phone: 718-765-2500
  • Fax:
Mailing address:
  • Phone: 716-256-6942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: