Individual
DR. ALEC EBRAIM VAEZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
120 MINEOLA BLVD STE 320, MINEOLA, NY 11501-4077
(516) 663-2436
(516) 663-2780
Mailing address
120 MINEOLA BLVD STE 320, MINEOLA, NY 11501-4077
(516) 663-2436
(516) 663-2780
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
253792
MA
207Y00000X
Otolaryngology Physician
301004
NY
207Y00000X
Otolaryngology Physician
A105098
CA
207Y00000X
Otolaryngology Physician
MT183380
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05858562
—
NY
05
—
110095099A
—
MA
Enumeration date
09/09/2008
Last updated
04/02/2021
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