Individual
JACQUES MARIO AZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
10 E 102ND ST, NEW YORK, NY 10029-6030
(212) 241-6756
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-4689
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
291114
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2014
Last updated
06/17/2021
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