Healthcare Provider Details

I. General information

NPI: 1154934370
Provider Name (Legal Business Name): DR. SANAA ZYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2020
Last Update Date: 08/27/2020
Certification Date: 08/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 DOLSON AVE
MIDDLETOWN NY
10940-6502
US

IV. Provider business mailing address

26 SNOWDEN AVE
SCHENECTADY NY
12304-1310
US

V. Phone/Fax

Practice location:
  • Phone: 845-343-1447
  • Fax:
Mailing address:
  • Phone: 518-902-9377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberI065240
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: