Provider Demographics
NPI:1215547880
Name:ZAHIDI, MAAHWUSH (DIPLAC, LAC)
Entity Type:Individual
Prefix:
First Name:MAAHWUSH
Middle Name:
Last Name:ZAHIDI
Suffix:
Gender:F
Credentials:DIPLAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 SQUADRON BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-5259
Mailing Address - Country:US
Mailing Address - Phone:732-213-2305
Mailing Address - Fax:
Practice Address - Street 1:16 SQUADRON BLVD
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-5259
Practice Address - Country:US
Practice Address - Phone:732-213-2305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-07
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist