Individual
DR. AFZAL M BUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 ROANOKE AVE, RIVERHEAD, NY 11901-2732
(631) 369-8000
Mailing address
912 ROANOKE AVE, RIVERHEAD, NY 11901-2732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
170228
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01015127
—
NY
Enumeration date
06/06/2006
Last updated
03/13/2008
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