Healthcare Provider Details

I. General information

NPI: 1881012482
Provider Name (Legal Business Name): ZEENA AUDI-SABA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2014
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 1ST AVE
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

59 GLENVILLE RD
GREENWICH CT
06831-4427
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-2377
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number270464
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number300673
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2080H0002X
TaxonomyPediatric Hospice and Palliative Medicine Physician
License Number300673
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: