Provider Demographics
NPI:1821328907
Name:ZABAT-HAMAD, ELECTA DUMLAO (MD)
Entity Type:Individual
Prefix:DR
First Name:ELECTA
Middle Name:DUMLAO
Last Name:ZABAT-HAMAD
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 1:167 NASSAU BLVD
Mailing Address - Street 2:GARDEN CITY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:11530-1277
Mailing Address - Country:US
Mailing Address - Phone:516-746-2118
Mailing Address - Fax:516-746-2118
Practice Address - Street 1:167 NASSAU BLVD
Practice Address - Street 2:GARDEN CITY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:11530-1277
Practice Address - Country:US
Practice Address - Phone:516-746-2118
Practice Address - Fax:516-746-2118
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY108370261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center