Provider Demographics
NPI:1548545270
Name:ZOOBI, ZEINA
Entity type:Individual
Prefix:
First Name:ZEINA
Middle Name:
Last Name:ZOOBI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5535 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-3550
Mailing Address - Country:US
Mailing Address - Phone:347-889-7094
Mailing Address - Fax:347-889-7093
Practice Address - Street 1:5535 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-3550
Practice Address - Country:US
Practice Address - Phone:347-889-7094
Practice Address - Fax:347-889-7093
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009212-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician