Provider Demographics
NPI:1073654869
Name:SUBZWARI, SARFRAZ HUSSAIN (BS PHARMACY)
Entity type:Individual
Prefix:MR
First Name:SARFRAZ
Middle Name:HUSSAIN
Last Name:SUBZWARI
Suffix:
Gender:M
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 MUTTONTOWN EASTWOODS RD
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-2319
Mailing Address - Country:US
Mailing Address - Phone:516-364-1398
Mailing Address - Fax:
Practice Address - Street 1:1383 BUSHWICK AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-1407
Practice Address - Country:US
Practice Address - Phone:718-455-5065
Practice Address - Fax:718-455-1398
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030007183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist