Individual
MS. FAWZIA ALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 W BURNSIDE AVE, BRONX, NY 10453-4015
(718) 716-4400
(718) 294-6912
Mailing address
176 JEFFERSON AVE, STATEN ISLAND, NY 10306-3512
(718) 716-4400
(718) 294-6912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008507
NY
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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