Provider Demographics
NPI:1821028911
Name:AFRIDI, NADIA S (MD)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:S
Last Name:AFRIDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 E 82ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0305
Mailing Address - Country:US
Mailing Address - Phone:212-628-7600
Mailing Address - Fax:212-628-5799
Practice Address - Street 1:46 E 82ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0305
Practice Address - Country:US
Practice Address - Phone:212-628-7600
Practice Address - Fax:212-628-5799
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238296174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH90071Medicare UPIN
NY2127F1Medicare ID - Type UnspecifiedEMPIRE MEDICARE