Individual
ZAZA J AIVAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 E 77TH ST, NEW YORK, NY 10021-1922
(212) 439-6000
(212) 439-1526
Mailing address
3141 45TH ST, LONG ISLAND CITY, NY 11103-1621
(718) 721-1500
(718) 777-1623
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
22374
NY
207UN0901X
Nuclear Cardiology Physician
22374
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02491454
—
NY
Enumeration date
09/21/2005
Last updated
03/11/2008
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