Healthcare Provider Details

I. General information

NPI: 1275252702
Provider Name (Legal Business Name): NADIA ZAFAR PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 08/26/2022
Certification Date: 08/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SAINT ANDREWS LN
GLEN COVE NY
11542-2254
US

IV. Provider business mailing address

15 WEAVER LN
LEVITTOWN NY
11756-3421
US

V. Phone/Fax

Practice location:
  • Phone: 516-674-7777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number068295-I
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: