Provider Demographics
NPI:1255505392
Name:AHMAD, NAZIR
Entity Type:Individual
Prefix:MR
First Name:NAZIR
Middle Name:
Last Name:AHMAD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 LITTLE NECK AVE
Mailing Address - Street 2:
Mailing Address - City:N BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1803
Mailing Address - Country:US
Mailing Address - Phone:718-441-3800
Mailing Address - Fax:718-441-1086
Practice Address - Street 1:11204 101ST AVE
Practice Address - Street 2:
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-1124
Practice Address - Country:US
Practice Address - Phone:718-441-3800
Practice Address - Fax:718-441-1086
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033717183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist