IndividualActive
A S M Islam, MD
NPI 1265063358 · Internal Medicine Physician · Jamaica, NY
Provider details
- NPI number
- 1265063358
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 104094 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9131 175th St
Jamaica, NY 11432-5517
Phone: (718) 657-6363
Approximate (ZIP-level) locationGet directions
Mailing address
17810 Wexford Ter Apt 4r
Jamaica, NY 11432-3014
Registry dates
- Enumerated
- 2020-01-28
- Last updated
- 2020-01-28
- Certified
- 2020-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.