Provider Demographics
NPI:1770653610
Name:ELBAZ, ZEINAB S (MD ,FRCPC)
Entity Type:Individual
Prefix:DR
First Name:ZEINAB
Middle Name:S
Last Name:ELBAZ
Suffix:
Gender:F
Credentials:MD ,FRCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2088 ELLEN DR
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-5404
Mailing Address - Country:US
Mailing Address - Phone:516-546-7555
Mailing Address - Fax:516-546-2323
Practice Address - Street 1:998 CROOKED HILL ROAD
Practice Address - Street 2:BLG 47 NEUROSCIENCE CENTER
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-1087
Practice Address - Country:US
Practice Address - Phone:631-761-3470
Practice Address - Fax:631-761-2244
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2189092084F0202X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH37111Medicare UPIN