Provider Demographics
NPI:1760772040
Name:ZARBAKHSH, SAMIRA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SAMIRA
Middle Name:
Last Name:ZARBAKHSH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1239 E 35TH ST APT 2R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4804
Mailing Address - Country:US
Mailing Address - Phone:718-219-3913
Mailing Address - Fax:718-951-4944
Practice Address - Street 1:1239 E 35TH ST APT 2R
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-4804
Practice Address - Country:US
Practice Address - Phone:718-219-3913
Practice Address - Fax:718-951-4944
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant