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Individual

MONEEKA ZAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
19 BRADHURST AVE, SUITE 2400, HAWTHORNE, NY 10532-2140
(914) 593-8850
(914) 593-8833
Mailing address
22 SAW MILL RIVER RD, 2ND FLOOR, HAWTHORNE, NY 10532-1533
(914) 593-8850
(914) 593-8833

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
204238
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01857932
NY
01
A400021892
MEDICARE PTAN
NY
01
A400021893
MEDICARE PTAN
NY
Enumeration date
08/18/2005
Last updated
08/04/2015
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