MEDICARE: MD ZAHIRUL ALAM RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F358244	NY

General Provider Information

NPI Number	:	1538973557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MD ZAHIRUL ALAM RN

Provider Business Mailing Address
First Line	:	16102 NORMAL RD
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-3446
Country	:	US
Telephone Number	:	929-350-8959
Fax Number	:

Provider Business Practice Location Address
First Line	:	16102 NORMAL RD
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-3446
Country	:	US
Telephone Number	:	929-350-8959
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2025
Last Update Date	:	01/20/2026

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