Imam, Nayyar U
Imam, Nayyar U is an sole proprietor health care provider with primary practice located at 3663 Route 112 Ste 1, Coram NY 11727-4130. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Imam, Nayyar U can be contacted via phone (631) 698-7788.Contact Information
Primary practice address
3663 Route 112 Ste 1
Coram NY 11727-4130
Phone: (631) 698-7788
Fax: (631) 698-0103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 037149 | New York |
Profile Details
| NPI number | 1861650723 |
|---|---|
| LBN Legal business name | Imam, Nayyar U |
| Credentials | PHARMACIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2008 |
| Last updated | Nov 3rd, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861650723 | NPPES |
| New York | MEDICAID | 01742121 |
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