Provider Demographics
NPI:1780993303
Name:ZAFFARULLAH, JOYCE (LAC)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:ZAFFARULLAH
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 ROBIN LN
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-1136
Mailing Address - Country:US
Mailing Address - Phone:917-583-5139
Mailing Address - Fax:
Practice Address - Street 1:420 E 81ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-5877
Practice Address - Country:US
Practice Address - Phone:917-583-5139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY514369163W00000X
NY003615171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse