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1225635204
IBTHEESAM ZAMAN
ELMHURST, NY
NPI
1225635204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 309943)
Enumeration Date
2020-10-03
Last Update Date
2020-10-03
Business Address
IBTHEESAM ZAMAN
4032 74TH ST
ELMHURST, NY 11373-5628
Phone number: 718-424-0200
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Mailing Address
IBTHEESAM ZAMAN
7035 BROADWAY APT A8
JACKSON HEIGHTS, NY 11372-6104
Phone number: 347-684-0806
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