Zynwa5 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031764 Issued in NY

Legal business name

ZYNWA5 INC

Doing business as

MIND & BODY

Practice address

5311 Roosevelt Ave
Woodside, NY 11377-4238

Phone

(718) 255-6355

Fax

(718) 255-6353

NPI assigned

Feb 27, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wiame Douhgri

Title

President

Phone

(718) 255-6355

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MIND & BODY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1962742924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 ROOSEVELT AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774238",
            "telephone_number": "718-255-6355",
            "fax_number": "718-255-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 ROOSEVELT AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774238",
            "telephone_number": "718-255-6355",
            "fax_number": "718-255-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZYNWA5 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "DOUHGRI",
        "authorized_official_first_name": "WIAME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-255-6355"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139073",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03559368",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIND & BODY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mersim Ziljkic, D.D.S.
• Laura A. Zimmermann, LCSW-R CASWCM
• Xueyun Zou, LPN
• Rosemarie C Zuleta, RN
• ZWH Medical Care PC

• Community/Retail Pharmacy in Woodside, NY
• Providers in Woodside, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.