Basic Information
| Provider Information | |||||||||
| NPI: | 1871585182 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZAMAN | ||||||||
| FirstName: | QAMAR | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD FACC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 N VILLAGE AVE | ||||||||
| Address2: | STE 102 | ||||||||
| City: | ROCKVILLE CENTRE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115701078 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5166784447 | ||||||||
| FaxNumber: | 5166782465 | ||||||||
| Practice Location | |||||||||
| Address1: | 2000 N VILLAGE AVE | ||||||||
| Address2: | STE 102 | ||||||||
| City: | ROCKVILLE CENTRE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115701078 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5166784447 | ||||||||
| FaxNumber: | 5166782465 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/22/2005 | ||||||||
| LastUpdateDate: | 03/10/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 117798 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 117798 | 01 | NY | LICENSE | OTHER | 00219136 | 05 | NY | MEDICAID |