Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 262117 | NY |
Y | 111NI0900X | Internist | 262117 | NY |
NPI | 1003051087 |
---|---|
Provider Name | Selina Sultana Zaman |
First Address | Bronx, NY 10466-2604 |
Second Address | Bronx, NY 10466-2604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2008 |
Last Update Date | 25/07/2011 |