Individual
PAULEEN AZEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
883 E MAIN ST, RIVERHEAD, NY 11901-2613
(631) 366-5848
(631) 366-5883
Mailing address
27 TAMARA CT, MELVILLE, NY 11747-4147
(631) 366-5848
(631) 366-5883
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
028040
NY
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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