DR. MARYAM KHALID AZAM (NPI# 1447613161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447613161 |
| Entity Type | Individual |
| Full Name | DR. MARYAM KHALID AZAM |
| Practice Address |
3711 Queens Blvd Long Island City NY 11101-1725 |
| Practice Telephone | 7183615100 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 061198 | NY | Pharmacy Service Providers |
| Street Address |
3711 QUEENS BLVD |
| City | LONG ISLAND CITY |
| State | NY |
| Zip Code | 11101-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417925454 | Ismael M Mendoza | Physical Therapist | 3711 Queens Blvd, Long Island City, NY 11101-1725 | 2006-03-08 |
| 1477199230 | Dennis Alferd | Licensed Practical Nurse | 3711 Queens Blvd, Long Island City, NY 11101-1725 | 2019-11-26 |
| 1114427796 | Gokul Kalla | Pharmacist | 3711 Queens Blvd, Long Island City, NY 11101-1725 | 2018-02-20 |
| 1558896985 | Aleeza Halen | Registered Nurse | 3711 Queens Blvd, Long Island City, NY 11101-1725 | 2017-04-24 |
| 1689116840 | Charmaine Thomas | Registered Nurse | 3711 Queens Blvd, Long Island City, NY 11101-1725 | 2016-11-04 |
| 1720539828 | Angelle Walker | Registered Nurse | 3711 Queens Blvd, Long Island City, NY 11101-1725 | 2016-10-24 |
| 1659722817 | Esther Pomares | Pediatrics | 3711 Queens Blvd, Long Island City, NY 11101 | 2016-06-28 |
| 1508224551 | The New York Hotel Trades Council Employee Benefit Funds | Clinic/Center | 3711 Queens Blvd, Long Island City, NY 11101-1725 | 2016-02-05 |
| 1447617998 | Melissa Maharaj | Registered Nurse | 3711 Queens Blvd, Long Island City, NY 11101-1725 | 2016-01-27 |
| 1073979605 | Lyudmila Iskhakova | Registered Nurse | 3711 Queens Blvd, Long Island City, NY 11101-1725 | 2016-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453469 | Marguerite Reilly | Speech-Language Pathologist | P721q John F. Kennedy School @ Information Technology H, 21-16 44th Road, Long Island City, NY 11101 | 2020-09-23 |
| 1831716323 | South Occupational Therapy Services, P.C. | Occupational Therapist | 1-50 50th Avenue, Apt 3806, Long Island City, NY 11101 | 2020-06-30 |
| 1104465392 | Cindy Ha | Nurse Practitioner | 29-22 Northern Blvd, Apt 1805, Long Island City, NY 11101 | 2020-01-06 |
| 1114565991 | Maria Montes | Counselor | 3110 37th Ave, Ste 401, Long Island City, NY 11101 | 2019-12-12 |
| 1235770777 | City Medical of Upper East Side, Pllc | Clinic/Center | 25-18 Queens Plaza South, Long Island City, NY 11101 | 2019-10-07 |
| 1073162343 | Kofi Robertson Md Pllc | Anesthesiology | 28-10 Jackson Avenue, Long Island City, NY 11101 | 2019-09-09 |
| 1689221368 | Crossland Transportation Management Corp | Non-emergency Medical Transport (VAN) | 34-18 Northern Blvd, Floor 4 Unit 32, Long Island City, NY 11101 | 2019-08-19 |
| 1295396190 | Natasha Fortune | Counselor | 3418 Northern Blvd Fl 4, Long Island City, NY 11101 | 2019-06-23 |
| 1588224901 | Lemon Health At Home, LLC | Home Health | 4628 Vernon Blvd., Suite 531, Long Island City, NY 11101 | 2019-06-18 |
| 1790342541 | Hospital Wood Medical Center | General Acute Care Hospital | Coxen Hole, Main Street, Roatan, BAY ISLANDS 11101 | 2019-05-28 |
| Find all providers in zip 11101 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972047553 | Norbert Futeran | Pharmacist | 5 Court Sq, Long Island City, NY 11101-2956 | 2016-12-15 |
| 1871947531 | Mariely Castaneda | Pharmacist | 3365 13th St, Long Island City, NY 11106-4611 | 2016-04-19 |
| 1477967826 | Wad Kadi | Pharmacist | 32-87 Steinway St, Long Island City, NY 11103 | 2014-06-13 |
| 1629310578 | Entela Karafili | Pharmacist | 3624 37th St, 2 Floor, Long Island City, NY 11101-1606 | 2013-03-19 |
| 1497042964 | Helen Se-jin Yoon | Pharmacist | 37-11 Queens Blvd., Long Island City, NY 11101 | 2011-07-06 |
| 1437473865 | Deborah Ann Figueroa | Pharmacist | 2180 33rd Rd, Apt 1d, Long Island City, NY 11106-4282 | 2010-03-14 |
| 1104148188 | Syed I Naqvi | Pharmacist | 3112 Broadway, Long Island City, NY 11106-2666 | 2010-02-18 |
| 1477875482 | Syed Shahid Ali | Pharmacist | 3543 28th St, Long Island City, NY 11106-3201 | 2010-02-17 |
| 1376713263 | Monsur Ahmed Chowdhury | Pharmacist | 2903 36th Ave, Long Island City, NY 11106-3107 | 2008-03-06 |
| 1720274913 | Angela Poulios | Pharmacist | 3355 Crescent St, Long Island City, NY 11106-3809 | 2007-09-20 |
| Find all providers in LONG ISLAND CITY | ||||
| City | LONG ISLAND CITY |
| Zip Code | 11101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.