Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 247739 | NY |
NPI | 1063688331 |
---|---|
Provider Name | Dr. Zumaira Fatima |
First Address | Flushing, NY 11367-1940 |
Second Address | Jamaica, NY 11432-3730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2008 |
Last Update Date | 06/05/2008 |