Individual
AZAZ AWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
335 MALCOLM X BLVD, NEW YORK, NY 10027-3703
(646) 585-1515
Mailing address
335 MALCOLM X BLVD, NEW YORK, NY 10027-3703
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
001297
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
060306-1
NY
Other
Enumeration date
05/28/2014
Last updated
01/28/2020
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