Individual
ABUL AZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
29 NEWKIRK PLZ, BROOKLYN, NY 11226-6525
(718) 434-7545
Mailing address
902 NEWKIRK AVE, 1FL, BROOKLYN, NY 11230-1405
(718) 688-9055
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019469
NY
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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