Provider Demographics
NPI:1699178467
Name:ZRAIKAT, AFAQ M (DDS)
Entity Type:Individual
Prefix:DR
First Name:AFAQ
Middle Name:M
Last Name:ZRAIKAT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 CLAREMONT PKWY
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-8304
Mailing Address - Country:US
Mailing Address - Phone:718-299-3600
Mailing Address - Fax:718-901-3548
Practice Address - Street 1:505 CLAREMONT PKWY
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-8304
Practice Address - Country:US
Practice Address - Phone:718-299-3600
Practice Address - Fax:718-901-3548
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057597122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist