Provider Demographics
NPI:1457677304
Name:YASIN, ZAIN A
Entity Type:Individual
Prefix:
First Name:ZAIN
Middle Name:A
Last Name:YASIN
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 1:564 PONTIAC RD
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-5417
Mailing Address - Country:US
Mailing Address - Phone:516-557-3467
Mailing Address - Fax:212-253-2415
Practice Address - Street 1:206 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-3720
Practice Address - Country:US
Practice Address - Phone:212-253-8686
Practice Address - Fax:212-253-2415
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-18
Last Update Date:2010-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY380101061153210183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician