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Individual

AZFAR SHABBIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
79-01 BROADWAY, ROOM A1-9, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Mailing address
79-01 BROADWAY, ROOM A1-9, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
186230
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
186230
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01502845
NY
Enumeration date
07/10/2006
Last updated
10/23/2007
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