Healthcare Provider Details

I. General information

NPI: 1013447861
Provider Name (Legal Business Name): SAFWA ZAFAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 09/08/2022
Certification Date: 09/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 5TH AVE RM 1106
NEW YORK NY
10016-3340
US

IV. Provider business mailing address

385 5TH AVE RM 1106
NEW YORK NY
10016-3340
US

V. Phone/Fax

Practice location:
  • Phone: 917-391-0076
  • Fax:
Mailing address:
  • Phone: 917-391-0076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number309419
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number309419
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: