Provider Demographics
NPI:1558072041
Name:DR NEELOFAR GHAZNAWI MD PC
Entity Type:Organization
Organization Name:DR NEELOFAR GHAZNAWI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEELOFAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GHAZNAWI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-641-7691
Mailing Address - Street 1:8626 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4428
Mailing Address - Country:US
Mailing Address - Phone:718-458-0086
Mailing Address - Fax:718-458-0091
Practice Address - Street 1:14846 HILLSIDE AVENUE
Practice Address - Street 2:UNIT RTL
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435
Practice Address - Country:US
Practice Address - Phone:718-458-0086
Practice Address - Fax:718-458-0091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-06
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty