Provider Demographics
NPI:1487663555
Name:ZUBAIR ZOHA PHYSICIAN PLLC
Entity Type:Organization
Organization Name:ZUBAIR ZOHA PHYSICIAN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZUBAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-483-5804
Mailing Address - Street 1:PO BOX 1565
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-0565
Mailing Address - Country:US
Mailing Address - Phone:845-483-5804
Mailing Address - Fax:845-483-5807
Practice Address - Street 1:1 WEBSTER AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1361
Practice Address - Country:US
Practice Address - Phone:845-483-5804
Practice Address - Fax:845-483-5807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-06
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY210579208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01876342Medicaid
NYG76943Medicare UPIN
NYWEJ971Medicare ID - Type UnspecifiedGROUP