Individual
MRS. ALIA IJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 CONEY ISLAND AVE, BROOKLYN, NY 11230-2344
(718) 434-1012
(718) 434-1088
Mailing address
1100 CONEY ISLAND AVE, BROOKLYN, NY 11230-2344
(718) 434-1012
(718) 434-1088
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
16100
NY
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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