Healthcare Provider Details

I. General information

NPI: 1699660423
Provider Name (Legal Business Name): ZARA ZAEEM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 JEANNE DR STE 7
NEWBURGH NY
12550-1797
US

IV. Provider business mailing address

117 CHESTNUT AVE
NEW WINDSOR NY
12553-5924
US

V. Phone/Fax

Practice location:
  • Phone: 845-565-4400
  • Fax:
Mailing address:
  • Phone: 845-500-3346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number356669
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: