Provider Demographics
NPI:1164802880
Name:BAY HARBOR MEDICAL, P.C.
Entity Type:Organization
Organization Name:BAY HARBOR MEDICAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUZAFFAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-287-8478
Mailing Address - Street 1:5512 MERRICK RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-6233
Mailing Address - Country:US
Mailing Address - Phone:516-287-8478
Mailing Address - Fax:
Practice Address - Street 1:5512 MERRICK RD
Practice Address - Street 2:SUITE C
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-6233
Practice Address - Country:US
Practice Address - Phone:516-287-8478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty