Organization
ASLAM AZIZ JIVANI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASLAM A JIVANI MD (OWNER)
(718) 897-8915
Entity
Organization
Contact information
Practice address
5901 69TH ST, MASPETH, NY 11378-2946
(718) 672-2113
Mailing address
89 25 65TH ROAD, REGO PARK, NY 11374
(718) 897-8915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
09/19/2007
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