Healthcare Provider Details

I. General information

NPI: 1346339660
Provider Name (Legal Business Name): ABDUL Z NIAZI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 SENECA AVE
RIDGEWOOD NY
11385-3511
US

IV. Provider business mailing address

714 SENECA AVE
RIDGEWOOD NY
11385-3511
US

V. Phone/Fax

Practice location:
  • Phone: 929-295-0424
  • Fax: 929-295-0429
Mailing address:
  • Phone: 929-295-0424
  • Fax: 929-295-0429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number030553
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: