Provider Demographics
NPI:1063489524
Name:ZAMA, NCHE (MD)
Entity Type:Individual
Prefix:
First Name:NCHE
Middle Name:
Last Name:ZAMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:571 SAINT JOSEPHS BLVD
Mailing Address - Street 2:FL 2
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14901-3230
Mailing Address - Country:US
Mailing Address - Phone:607-271-2050
Mailing Address - Fax:607-271-2099
Practice Address - Street 1:206 E BROWN ST
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-3006
Practice Address - Country:US
Practice Address - Phone:570-420-5331
Practice Address - Fax:570-422-8233
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049700L208G00000X
NY215259-1208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014325660008Medicaid
PA0014325660009Medicaid
PA0650047000OtherKEYSTONE IBC
PA741362OtherHIGHMARK BLUE SHIELD
PA0014325660004Medicaid
PA3416861OtherAETNA
NY01948801Medicaid
NY01948801Medicaid
PA3416861OtherAETNA