Basic Information
| Provider Information | |||||||||
| NPI: | 1679992549 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | QAYUM | ||||||||
| FirstName: | SEEMA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 622 W 168TH ST PH 8E-101 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100323720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2123422845 | ||||||||
| FaxNumber: | 2123058464 | ||||||||
| Practice Location | |||||||||
| Address1: | 222 E 41ST ST FL 21 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100176739 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122637951 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2014 | ||||||||
| LastUpdateDate: | 12/20/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 12/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 305705 | LA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | PGY.202453 | LA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 293980-1 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RP1001X | 293980 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.