Provider Demographics
NPI:1043072754
Name:ZULFIQAR, HASEEB (RPH)
Entity type:Individual
Prefix:DR
First Name:HASEEB
Middle Name:
Last Name:ZULFIQAR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7373 260TH ST
Mailing Address - Street 2:
Mailing Address - City:GLEN OAKS
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1121
Mailing Address - Country:US
Mailing Address - Phone:929-434-1682
Mailing Address - Fax:
Practice Address - Street 1:7373 260TH ST
Practice Address - Street 2:
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004-1121
Practice Address - Country:US
Practice Address - Phone:929-434-1682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC44236183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist