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NPI Code Detail

MEDICARE: BUD ZDOROV PHYSICIANS PLLC

MEDICARE: BUD ZDOROV PHYSICIANS PLLC
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
1208D00000XGeneral Practice Physician258052NY

General Provider Information

NPI Number : 1356757066
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUD ZDOROV PHYSICIANS PLLC
Provider Business Mailing Address
First Line : 70 OLD WESTBURY RD
Second Line :
City : OLD WESTBURY
State : NY
Zip : 11568-1611
Country : US
Telephone Number : 718-789-4333
Fax Number : 718-857-8498
Provider Business Practice Location Address
First Line : 1811 QUENTIN RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1343
Country : US
Telephone Number : 646-338-4912
Fax Number : 718-857-8498
Authorized Official
Title or Position : OWNER
Name : IJAZ AHMAD
Credential : M.D.
Telephone Number : 646-338-4912
Provider Enumeration Date : 07/02/2014
Last Update Date : 07/02/2014

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Directions to “BUD ZDOROV PHYSICIANS PLLC ” Practice Location

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