Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 145606 | NY |
NPI | 1144318742 |
---|---|
Provider Name | Dr. Paul Eliot Zam |
First Address | Elmhurst, NY 11373-1329 |
Second Address | Jamaica, NY 11432-1121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01844568 | (05) | NY |
F35314 | (02) | NY |