Provider Demographics
NPI:1629497144
Name:ZAW, WAI PHYU (MD)
Entity Type:Individual
Prefix:
First Name:WAI
Middle Name:PHYU
Last Name:ZAW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:55 WATER STREET
Mailing Address - Street 2:FL 2ND FLOOR CRED DEPT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10041-0004
Mailing Address - Country:US
Mailing Address - Phone:646-680-2888
Mailing Address - Fax:516-542-5556
Practice Address - Street 1:1050 CLOVE ROAD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301
Practice Address - Country:US
Practice Address - Phone:718-816-6440
Practice Address - Fax:718-816-3611
Is Sole Proprietor?:No
Enumeration Date:2014-04-11
Last Update Date:2019-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY295897207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine