Provider Demographics
NPI:1649567462
Name:EJAZ, SEHAR (MD)
Entity Type:Individual
Prefix:
First Name:SEHAR
Middle Name:
Last Name:EJAZ
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 1:2552 STEINWAY ST
Mailing Address - Street 2:DEPARTMENT OF PEDIATRICS
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3777
Mailing Address - Country:US
Mailing Address - Phone:718-777-6695
Mailing Address - Fax:718-777-2387
Practice Address - Street 1:2552 STEINWAY ST
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3777
Practice Address - Country:US
Practice Address - Phone:718-777-6695
Practice Address - Fax:718-777-2387
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2014-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2624982080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology