Provider Demographics
NPI:1831348580
Name:YOUSUFZAI, ZOHRA
Entity type:Individual
Prefix:MRS
First Name:ZOHRA
Middle Name:
Last Name:YOUSUFZAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3574 MARTHA BLVD
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-3821
Mailing Address - Country:US
Mailing Address - Phone:917-689-3059
Mailing Address - Fax:
Practice Address - Street 1:4413 UTOPIA PKWY
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-3324
Practice Address - Country:US
Practice Address - Phone:718-358-3893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012777363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant