Individual
AMEER NIZAM AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
82 LAMBERTS LN, STATEN ISLAND, NY 10314-7210
(718) 477-5479
(718) 761-1770
Mailing address
2317 CENTER ISLAND ROUTE 22, UNION, NJ 07083
(201) 354-1951
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
25MA10398000
NJ
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
301612
NY
Other
Enumeration date
05/06/2014
Last updated
01/22/2020
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