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Individual

LATIF AZIZ SHAIKH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
257 E 1ST ST, CORNING, NY 14830-2924
(607) 936-4679
(607) 936-4670
Mailing address
257 E 1ST ST, CORNING, NY 14830-2924
(607) 936-4679
(607) 936-4670

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
130124
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00596709
NY
01
16-476114
BCBS
NY
Enumeration date
08/01/2006
Last updated
08/26/2008
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