Provider Demographics
NPI:1891287116
Name:YAZIGI MEDICAL CARE PLLC
Entity Type:Organization
Organization Name:YAZIGI MEDICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NASER
Authorized Official - Middle Name:
Authorized Official - Last Name:YAZIGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-833-7535
Mailing Address - Street 1:421 78TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3447
Mailing Address - Country:US
Mailing Address - Phone:718-833-7535
Mailing Address - Fax:718-748-6487
Practice Address - Street 1:421 78TH ST STE B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3447
Practice Address - Country:US
Practice Address - Phone:718-833-7535
Practice Address - Fax:718-748-6487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-01
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty