Healthcare Provider Details

I. General information

NPI: 1205565314
Provider Name (Legal Business Name): UZAYR ARIF DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2022
Last Update Date: 06/07/2022
Certification Date: 06/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 E 70TH ST
NEW YORK NY
10021-9800
US

IV. Provider business mailing address

6812 N HEMPSTEAD TPKE
SYOSSET NY
11791-1002
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-2700
  • Fax:
Mailing address:
  • Phone: 347-439-6011
  • 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: