Provider Demographics
NPI:1184306078
Name:ZACHARIAH, SAYUJ (OD)
Entity type:Individual
Prefix:DR
First Name:SAYUJ
Middle Name:
Last Name:ZACHARIAH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 DOGWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1028
Mailing Address - Country:US
Mailing Address - Phone:347-551-1761
Mailing Address - Fax:
Practice Address - Street 1:27130 77TH AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1446
Practice Address - Country:US
Practice Address - Phone:718-343-1414
Practice Address - Fax:718-343-2578
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009877152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist