Organization
HAVEN MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORTON AIZIC D.O. (PRESIDENT)
(516) 385-1525
Entity
Organization
Contact information
Practice address
9311 91ST AVE, WOODHAVEN, NY 11421-2745
(516) 385-1525
(516) 385-1519
Mailing address
9311 91ST AVE, WOODHAVEN, NY 11421-2745
(516) 385-1525
(516) 385-1519
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
085638-1
NY
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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