Provider Demographics
NPI:1891936068
Name:S FARHAN ZAIDI MD PLLC
Entity Type:Organization
Organization Name:S FARHAN ZAIDI MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEYD FARHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-536-8972
Mailing Address - Street 1:PO BOX 545
Mailing Address - Street 2:
Mailing Address - City:CENTERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11721-0545
Mailing Address - Country:US
Mailing Address - Phone:516-650-2833
Mailing Address - Fax:516-584-7111
Practice Address - Street 1:8 SEA SPRAY DR
Practice Address - Street 2:
Practice Address - City:CENTERPORT
Practice Address - State:NY
Practice Address - Zip Code:11721-1633
Practice Address - Country:US
Practice Address - Phone:516-650-2833
Practice Address - Fax:516-584-7111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty