Organization
124-15 MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUZAFFAR ZAI DO (PRESIDENT)
(631) 807-2477
Entity
Organization
Contact information
Practice address
12415 JAMAICA AVE, RICHMOND HILL, NY 11418-2649
(718) 480-6626
Mailing address
88 CEDAR RD, EAST NORTHPORT, NY 11731-4131
(631) 807-2477
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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