Individual
MR. SAMIR AZIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
172 PALISADE AVE, BOGOTA, NJ 07603-1634
(201) 401-4494
(201) 342-5247
Mailing address
172 PALISADE AVE, BOGOTA, NJ 07603-1634
(845) 527-8008
(201) 820-4365
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
10909
NY
Other
Enumeration date
02/14/2009
Last updated
02/13/2015
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