Provider Demographics
NPI:1912513805
Name:AMIN, ZAKARIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZAKARIA
Middle Name:
Last Name:AMIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ZAK
Other - Middle Name:
Other - Last Name:AMIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:382 RIDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-2118
Mailing Address - Country:US
Mailing Address - Phone:917-783-0864
Mailing Address - Fax:
Practice Address - Street 1:382 RIDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-2118
Practice Address - Country:US
Practice Address - Phone:917-783-0864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY066934183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty