Provider Demographics
NPI:1093427973
Name:AHMAR, ZIA UD DIN
Entity Type:Individual
Prefix:
First Name:ZIA UD DIN
Middle Name:
Last Name:AHMAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 BULLARD ST
Mailing Address - Street 2:
Mailing Address - City:MASTIC
Mailing Address - State:NY
Mailing Address - Zip Code:11950-4719
Mailing Address - Country:US
Mailing Address - Phone:929-263-9272
Mailing Address - Fax:
Practice Address - Street 1:52 BULLARD ST
Practice Address - Street 2:
Practice Address - City:MASTIC
Practice Address - State:NY
Practice Address - Zip Code:11950-4719
Practice Address - Country:US
Practice Address - Phone:929-263-9272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY806205288344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi