Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 231692 | NY |
NPI | 1023082914 |
---|---|
Provider Name | Dr. Myassar Zarif |
First Address | Islip, NY 11751-3620 |
Second Address | Islip, NY 11751-3620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 09/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02588741 | (05) | NY |
I13755 | (02) | NY |