# AIS PHYSICIAN P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043640220
- **Authorized official:** DR. IJAZ AHMAD MD (PRESIDENT)
- **Authorized official phone:** (718) 789-4333

## Contact information

- **Practice address:** 476 7TH ST, BROOKLYN, NY 11215-6932
- **Practice address phone:** (718) 885-4727
- **Mailing address:** 70 OLD WESTBURY RD, OLD WESTBURY, NY 11568-1611
- **Mailing address phone:** (718) 395-6444
- **Mailing address fax:** (718) 676-9557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2013
- **Last updated:** 09/04/2024