Provider Demographics
NPI:1447617402
Name:KAZI, FARIYA
Entity Type:Individual
Prefix:MS
First Name:FARIYA
Middle Name:
Last Name:KAZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85-08 56TH AVENUE
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-9278
Mailing Address - Country:US
Mailing Address - Phone:347-302-8035
Mailing Address - Fax:
Practice Address - Street 1:8508 56TH AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4828
Practice Address - Country:US
Practice Address - Phone:347-302-8035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst