Provider Demographics
NPI:1558967166
Name:ARSHAD, MOIZZAH
Entity Type:Individual
Prefix:
First Name:MOIZZAH
Middle Name:
Last Name:ARSHAD
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 1:1332 COMMERCE AVE FRNT 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3612
Mailing Address - Country:US
Mailing Address - Phone:347-293-4855
Mailing Address - Fax:
Practice Address - Street 1:1332 COMMERCE AVE FRNT 3
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3612
Practice Address - Country:US
Practice Address - Phone:347-293-4855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067420183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY067420OtherNYS BOARD OF PHARMACY