MEDICARE: MUNAZZA AFZAL MD PC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	218978	NY

General Provider Information

NPI Number	:	1255481214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUNAZZA AFZAL MD PC.

Provider Business Mailing Address
First Line	:	514 GRAMATAN AVE
Second Line	:	SUITE P3
City	:	MOUNT VERNON
State	:	NY
Zip	:	10552-3054
Country	:	US
Telephone Number	:	914-699-7427
Fax Number	:	914-699-7428

Provider Business Practice Location Address
First Line	:	514 GRAMATAN AVE
Second Line	:	SUITE P3
City	:	MOUNT VERNON
State	:	NY
Zip	:	10552-3054
Country	:	US
Telephone Number	:	914-699-7427
Fax Number	:	914-699-7428

Authorized Official
Title or Position	:	OWNER
Name	:	MUNAZZA AFZAL
Credential	:	M.D.
Telephone Number	:	914-699-7427

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	02/03/2014

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