Healthcare Provider Details

I. General information

NPI: 1285109470
Provider Name (Legal Business Name): M M ZAMAN MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2018
Last Update Date: 10/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 BEVERLY DR
ALBERTSON NY
11507-1301
US

IV. Provider business mailing address

33 BEVERLY DR
ALBERTSON NY
11507-1301
US

V. Phone/Fax

Practice location:
  • Phone: 516-297-9325
  • Fax:
Mailing address:
  • Phone: 516-297-9325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier01771659
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer

VIII. Authorized Official

Name: DR. MUHAMMAD M. ZAMAN
Title or Position: OWNER
Credential: MD
Phone: 516-297-9325