Individual
MISS MARYIUM RIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5733 157 ST, FLUSHING, NY 11355
(347) 898-6674
Mailing address
5733 157TH ST, FLUSHING, NY 11355-5518
(347) 898-6674
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014032
NY
363AM0700X
Medical Physician Assistant
OA002560
PA
Other
Enumeration date
10/29/2010
Last updated
07/06/2016
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