Provider Demographics
NPI:1639753106
Name:ANSARI, ZEERAK (PHARM D)
Entity Type:Individual
Prefix:
First Name:ZEERAK
Middle Name:
Last Name:ANSARI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1533 PENINSULA BLVD
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1502
Mailing Address - Country:US
Mailing Address - Phone:516-697-4241
Mailing Address - Fax:
Practice Address - Street 1:1533 PENINSULA BLVD
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1502
Practice Address - Country:US
Practice Address - Phone:516-697-4241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program