Individual
ZAEEM ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5079 BRIDLE PATH RD, FAYETTEVILLE, NY 13066-9738
(315) 446-5752
Mailing address
5079 BRIDLE PATH RD, FAYETTEVILLE, NY 13066-9738
(315) 446-5752
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
114948
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00569571
—
NY
Enumeration date
05/27/2005
Last updated
02/22/2021
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