Provider Demographics
NPI:1053490045
Name:ZAMAN, SYED N (MD)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:N
Last Name:ZAMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:104 UNION AVE STE 1005
Mailing Address - Street 2:ST JOSEPHS MEDICAL OFFICE CENTER
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13203-2761
Mailing Address - Country:US
Mailing Address - Phone:315-424-0790
Mailing Address - Fax:315-475-0916
Practice Address - Street 1:104 UNION AVE.
Practice Address - Street 2:SUITE 1005
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-2761
Practice Address - Country:US
Practice Address - Phone:315-424-0790
Practice Address - Fax:315-475-0916
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY12028412086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00Y79149Medicaid
NY55509DMedicare ID - Type Unspecified
NY00Y79149Medicaid