Provider Demographics
NPI:1629259502
Name:LOQMAN, NASREEN (MD)
Entity Type:Individual
Prefix:DR
First Name:NASREEN
Middle Name:
Last Name:LOQMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 FRANKLIN PL
Mailing Address - Street 2:APT 6
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1151
Mailing Address - Country:US
Mailing Address - Phone:516-371-4278
Mailing Address - Fax:516-371-4278
Practice Address - Street 1:2576 31ST ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-1749
Practice Address - Country:US
Practice Address - Phone:718-726-1909
Practice Address - Fax:718-726-1911
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243506207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03142587Medicaid
NYFL0254021OtherDEA