Healthcare Provider Details
I. General information
NPI: 1811052830
Provider Name (Legal Business Name): AFIA ZAMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
234 EAST 149 STREET DBMA OFFICE SUITE 8D 200
BRONX NY
10451
US
IV. Provider business mailing address
1 BONMAR ROAD
PELHAM MANOR NY
10803
US
V. Phone/Fax
- Phone: 718-579-6025
- Fax: 718-579-6060
- Phone: 914-738-7469
- Fax: 718-589-5368
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 152267 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: