Provider Demographics
NPI:1104027366
Name:NAZ, SOFIA YUSUF (MD)
Entity Type:Individual
Prefix:DR
First Name:SOFIA
Middle Name:YUSUF
Last Name:NAZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 UNDERHILL ST
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-3810
Mailing Address - Country:US
Mailing Address - Phone:267-974-1700
Mailing Address - Fax:
Practice Address - Street 1:199 UNDERHILL ST
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-3810
Practice Address - Country:US
Practice Address - Phone:267-974-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH282N00000X
NY2667162086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No282N00000XHospitalsGeneral Acute Care Hospital