Provider Demographics
NPI:1831277334
Name:NAZIF, JOANNE M (MD)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:M
Last Name:NAZIF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:111 E 210TH ST
Mailing Address - Street 2:ROSENTHAL 4
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2401
Mailing Address - Country:US
Mailing Address - Phone:718-741-2470
Mailing Address - Fax:718-654-6692
Practice Address - Street 1:111 E 210TH ST
Practice Address - Street 2:ROSENTHAL 4
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2401
Practice Address - Country:US
Practice Address - Phone:718-741-2470
Practice Address - Fax:718-654-6692
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2024-02-15
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Provider Licenses
StateLicense IDTaxonomies
NY248392208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A961050Medicare ID - Type Unspecified