Individual
BUSHRA WAZED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
79 MIDDLEVILLE RD BLDG 200A332, NORTHPORT, NY 11768-2296
(631) 261-4400
Mailing address
79 MIDDLEVILLE RD BLDG 200A332, NORTHPORT, NY 11768-2296
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
295486-1
NY
Other
Enumeration date
04/22/2015
Last updated
01/21/2024
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