Provider Demographics
NPI:1659667855
Name:AZARI, BANI MEKISHA (MD/PHD)
Entity Type:Individual
Prefix:DR
First Name:BANI
Middle Name:MEKISHA
Last Name:AZARI
Suffix:
Gender:F
Credentials:MD/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 COMMUNITY DRIVE
Mailing Address - Street 2:DEPARTMENT OF CARDIOLOGY
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030
Mailing Address - Country:US
Mailing Address - Phone:516-562-4100
Mailing Address - Fax:516-562-3992
Practice Address - Street 1:300 COMMUNITY DRIVE
Practice Address - Street 2:DEPARTMENT OF CARDIOLOGY
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030
Practice Address - Country:US
Practice Address - Phone:516-562-4100
Practice Address - Fax:516-562-3992
Is Sole Proprietor?:No
Enumeration Date:2011-06-26
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY289328207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease