Individual
ARVIN AZIZ BIN AZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
Mailing address
8409 108TH AVE, OZONE PARK, NY 11417-1408
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/31/2026
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