Provider Demographics
NPI:1770730509
Name:MEMON, ZEBUNNISSA (MD, CFMP)
Entity type:Individual
Prefix:DR
First Name:ZEBUNNISSA
Middle Name:
Last Name:MEMON
Suffix:
Gender:F
Credentials:MD, CFMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3706
Mailing Address - Country:US
Mailing Address - Phone:716-422-0073
Mailing Address - Fax:
Practice Address - Street 1:1650 MAPLE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-3706
Practice Address - Country:US
Practice Address - Phone:716-803-2707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY271589-012080P0206X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology