Provider Demographics
NPI:1588653166
Name:SATTER, QUAZI ZAFRI (DDS)
Entity Type:Individual
Prefix:
First Name:QUAZI
Middle Name:ZAFRI
Last Name:SATTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8630 BROADWAY
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-5804
Mailing Address - Country:US
Mailing Address - Phone:718-760-5500
Mailing Address - Fax:718-160-5511
Practice Address - Street 1:8630 BROADWAY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-5804
Practice Address - Country:US
Practice Address - Phone:718-760-5500
Practice Address - Fax:718-160-5511
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-17
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043873122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01451647Medicaid