Provider Demographics
NPI:1750360517
Name:HAMIDUDDIN, ZOOVIA (MD)
Entity type:Individual
Prefix:DR
First Name:ZOOVIA
Middle Name:
Last Name:HAMIDUDDIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ZOOVIA
Other - Middle Name:
Other - Last Name:HAMID
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:140 LOCKWOOD AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-4915
Mailing Address - Country:US
Mailing Address - Phone:914-636-3626
Mailing Address - Fax:914-636-3670
Practice Address - Street 1:140 LOCKWOOD AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-4915
Practice Address - Country:US
Practice Address - Phone:914-636-3626
Practice Address - Fax:914-636-3670
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY129451207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01365397Medicaid
NY347161Medicare ID - Type Unspecified
NY01365397Medicaid