MEDICARE: AHD ZUBAIDI

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	183500000X	Pharmacist	065115	NY

General Provider Information

NPI Number	:	1871059766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHD ZUBAIDI

Provider Business Mailing Address
First Line	:	8521 10TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11228-3212
Country	:	US
Telephone Number	:	917-774-1737
Fax Number	:

Provider Business Practice Location Address
First Line	:	6914 5TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-1507
Country	:	US
Telephone Number	:	347-517-4431
Fax Number	:

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

Provider Enumeration Date	:	02/15/2019
Last Update Date	:	02/15/2019

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Directions to “ AHD ZUBAIDI ” Practice Location

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