Provider Demographics
NPI:1093977142
Name:UNK, SAIMA RAFIQ (PHARMD)
Entity Type:Individual
Prefix:
First Name:SAIMA
Middle Name:RAFIQ
Last Name:UNK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SAIMA
Other - Middle Name:R
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2575 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:212-678-8556
Mailing Address - Fax:
Practice Address - Street 1:2575 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025
Practice Address - Country:US
Practice Address - Phone:212-678-8556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050748183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist