Provider Demographics
NPI:1497216253
Name:AZFAR, UZMA (MD, DPM)
Entity Type:Individual
Prefix:
First Name:UZMA
Middle Name:
Last Name:AZFAR
Suffix:
Gender:F
Credentials:MD, DPM
Other - Prefix:DR
Other - First Name:UZMA
Other - Middle Name:
Other - Last Name:AZFAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3 SUTTON PL
Mailing Address - Street 2:
Mailing Address - City:WHEATLEY HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11798-1526
Mailing Address - Country:US
Mailing Address - Phone:516-589-2777
Mailing Address - Fax:
Practice Address - Street 1:495 S BROADWAY
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-5040
Practice Address - Country:US
Practice Address - Phone:516-430-5971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NYN0072008213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program