Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 285040 | NY |
N | 111NI0900X | Internist | 285040 | NY |
Y | 207RR0500X | Rheumatology | 285040 | NY |
NPI | 1073939625 |
---|---|
Provider Name | Fnu Zarlasht |
First Address | Port Jefferson Station, NY 11776-8055 |
Second Address | Port Jefferson Station, NY 11776-8054 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2014 |
Last Update Date | 29/11/2021 |