Provider Demographics
NPI:1215340765
Name:AFZAL, SABA (MD)
Entity type:Individual
Prefix:
First Name:SABA
Middle Name:
Last Name:AFZAL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:243 NORTH RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1172
Mailing Address - Country:US
Mailing Address - Phone:845-471-9410
Mailing Address - Fax:845-457-7757
Practice Address - Street 1:400 WESTAGE BUSINESS CTR DR
Practice Address - Street 2:SUITE 210
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2223
Practice Address - Country:US
Practice Address - Phone:845-838-8480
Practice Address - Fax:845-345-9966
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2019-09-05
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Provider Licenses
StateLicense IDTaxonomies
NY211614207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03921657Medicaid
A400107683Medicare PIN