Provider Demographics
NPI:1831523117
Name:KABIR, TAZRUBA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAZRUBA
Middle Name:
Last Name:KABIR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18026 ABERDEEN RD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-1423
Mailing Address - Country:US
Mailing Address - Phone:718-316-1774
Mailing Address - Fax:
Practice Address - Street 1:5905 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-3546
Practice Address - Country:US
Practice Address - Phone:718-205-8880
Practice Address - Fax:718-205-8881
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058543183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist