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General NPI Number Information
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NPI Number | 1902976947
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Entity Type | Individual
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Provider Name | HUMAYUN ISLAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 95 GRASSLANDS RD WESTCHESTER MEDICAL CENTER - ANATOMIC PATHOLOGY
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City | VALHALLA
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State | NY
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Zip | 10595-1646
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Country | US
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Telephone | 914-493-1072
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Fax | 914-493-1145
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Provider Business Mailing Address
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Address Line | 705 BRENDER LN
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-1970
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Country | US
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Telephone | 914-962-3024
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 232392
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License Number State | NY
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