Provider Demographics
NPI:1245658087
Name:LOQMAN, NUSRAT (DO)
Entity type:Individual
Prefix:DR
First Name:NUSRAT
Middle Name:
Last Name:LOQMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4568A SUNRISE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11769
Mailing Address - Country:US
Mailing Address - Phone:631-730-8542
Mailing Address - Fax:631-730-6946
Practice Address - Street 1:4568A SUNRISE HIGHWAY
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:NY
Practice Address - Zip Code:11769
Practice Address - Country:US
Practice Address - Phone:631-730-8542
Practice Address - Fax:631-730-6946
Is Sole Proprietor?:No
Enumeration Date:2014-03-30
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY285328207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine