Provider Demographics
NPI:1720334394
Name:ZAMAN, ADILUZ (PHARMD)
Entity Type:Individual
Prefix:
First Name:ADILUZ
Middle Name:
Last Name:ZAMAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1551 UNIONPORT RD APT 6G
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-7710
Mailing Address - Country:US
Mailing Address - Phone:347-200-0522
Mailing Address - Fax:
Practice Address - Street 1:1612 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472-2915
Practice Address - Country:US
Practice Address - Phone:718-378-0003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057045183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist