Healthcare Provider Details

I. General information

NPI: 1184540403
Provider Name (Legal Business Name): ZULKARNAIN QAMAR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4147 68TH ST
WOODSIDE NY
11377-3833
US

IV. Provider business mailing address

4147 68TH ST
WOODSIDE NY
11377-3833
US

V. Phone/Fax

Practice location:
  • Phone: 347-632-9754
  • Fax:
Mailing address:
  • Phone: 347-632-9754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: