Provider Demographics
NPI:1225330913
Name:LAFFIR, SAFFIAH (OD)
Entity Type:Individual
Prefix:DR
First Name:SAFFIAH
Middle Name:
Last Name:LAFFIR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 DAHLGREN PL APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3603
Mailing Address - Country:US
Mailing Address - Phone:347-768-2909
Mailing Address - Fax:
Practice Address - Street 1:1690 PITKIN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-5605
Practice Address - Country:US
Practice Address - Phone:347-768-2909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-01
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007644-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist