Individual
ANNIE SAMINA AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 LAKE STREET, NEWBURGH, NY 12550-5243
(845) 863-9800
(845) 565-6349
Mailing address
200 LAKE STREET, NEWBURGH, NY 12550-5243
(845) 863-9800
(845) 565-6349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
214696
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02087938
—
NY
Enumeration date
12/08/2006
Last updated
07/12/2011
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