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Organization
NIMRA SARFARAZ DO PLLC
Active
Organization
NIMRA SARFARAZ DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NIMRA SARFARAZ D.O. (DIRECTOR)
(516) 519-3959
Entity
Organization
Contact information
Practice address
19909 HILLSIDE AVE, HOLLIS, NY 11423-2130
(718) 454-1732
(718) 454-1564
Mailing address
PO BOX 2149, NEW HYDE PARK, NY 11040-8149
(516) 519-3959
(718) 454-1564
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
261663
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03366685
PERSONNAL MEDICAID PROVIDED NUMBER
NY
01
—
261663
NY STATE LICENSE
NY
Enumeration date
02/03/2015
Last updated
09/28/2023
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