Individual
MARJAN ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6054
(718) 652-8384
Mailing address
235 E 95TH ST APT 17D, NEW YORK, NY 10128-4019
(205) 915-8881
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
288420
NY
207RP1001X
Pulmonary Disease Physician
Primary
288420
NY
Other
Enumeration date
03/25/2014
Last updated
05/08/2020
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