Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | P101504 | NY |
NPI | 1164012720 |
---|---|
Provider Name | Dr. Zeinab Moubadder |
First Address | Brooklyn, NY 11229-1705 |
Second Address | Brooklyn, NY 11229-1679 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2021 |
Last Update Date | 19/01/2021 |