Provider Demographics
NPI:1831062579
Name:ALZOOBAEE MEDICAL PC
Entity type:Organization
Organization Name:ALZOOBAEE MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:FAIZ
Authorized Official - Last Name:ALZOOBAEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-254-4350
Mailing Address - Street 1:70 IRONMINE DR
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-1130
Mailing Address - Country:US
Mailing Address - Phone:347-254-4350
Mailing Address - Fax:718-833-7465
Practice Address - Street 1:6805 5TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-6009
Practice Address - Country:US
Practice Address - Phone:347-254-4350
Practice Address - Fax:718-833-7465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent MedicineGroup - Multi-Specialty