Provider Demographics
NPI:1841535929
Name:TRIANGE MEDICAL CARE, P.C.
Entity type:Organization
Organization Name:TRIANGE MEDICAL CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUZAFFAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:631-438-0355
Mailing Address - Street 1:570 EXPRESSWAY DR S
Mailing Address - Street 2:2C
Mailing Address - City:MEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11763-2049
Mailing Address - Country:US
Mailing Address - Phone:631-438-0355
Mailing Address - Fax:631-438-0356
Practice Address - Street 1:570 EXPRESSWAY DR S
Practice Address - Street 2:2C
Practice Address - City:MEDFORD
Practice Address - State:NY
Practice Address - Zip Code:11763-2049
Practice Address - Country:US
Practice Address - Phone:631-438-0355
Practice Address - Fax:631-438-0356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty