Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 1202841 | NY |
NPI | 1053490045 |
---|---|
Provider Name | Syed N Zaman |
First Address | Syracuse, NY 13203-2761 |
Second Address | Syracuse, NY 13203-2761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 18/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00Y79149 | (05) | NY |
D75378 | (02) |