Provider Demographics
NPI:1871585182
Name:ZAMAN, QAMAR (MD FACC)
Entity type:Individual
Prefix:DR
First Name:QAMAR
Middle Name:
Last Name:ZAMAN
Suffix:
Gender:M
Credentials:MD FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 N VILLAGE AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-1078
Mailing Address - Country:US
Mailing Address - Phone:516-678-4447
Mailing Address - Fax:516-678-2465
Practice Address - Street 1:2000 N VILLAGE AVE
Practice Address - Street 2:STE 102
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-1078
Practice Address - Country:US
Practice Address - Phone:516-678-4447
Practice Address - Fax:516-678-2465
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY117798207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY117798OtherLICENSE
NY00219136Medicaid
NY00219136Medicaid
D38332Medicare UPIN