MEDICARE: NO NAME GIVEN MUNAZA AFAQ

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1740026004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NO NAME GIVEN MUNAZA AFAQ

Provider Business Mailing Address
First Line	:	2030 HIMROD ST
Second Line	:
City	:	RIDGEWOOD
State	:	NY
Zip	:	11385-1233
Country	:	US
Telephone Number	:	929-386-3243
Fax Number	:

Provider Business Practice Location Address
First Line	:	2030 HIMROD ST
Second Line	:
City	:	RIDGEWOOD
State	:	NY
Zip	:	11385-1233
Country	:	US
Telephone Number	:	929-386-3243
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2024
Last Update Date	:	07/06/2024

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