Provider Demographics
NPI:1912164849
Name:DZHAFAROVA, NARMINA R (MD DO)
Entity type:Individual
Prefix:
First Name:NARMINA
Middle Name:R
Last Name:DZHAFAROVA
Suffix:
Gender:F
Credentials:MD DO
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Other - First Name:
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Mailing Address - Street 1:8 CORNWALL LANE SUITE 2 T
Mailing Address - Street 2:NEUROLOGY PRACTICE OF NY, P.C.
Mailing Address - City:CARLE PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11514-1077
Mailing Address - Country:US
Mailing Address - Phone:516-777-0039
Mailing Address - Fax:917-720-9811
Practice Address - Street 1:274 NADISON AVE
Practice Address - Street 2:SUITE 501
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:516-777-0039
Practice Address - Fax:917-720-9811
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2012-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2518052084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400061042Medicare PIN