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Individual

DR. MOHAMMED NIZAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
950 PARK AVE, NEW YORK, NY 10028-0320
(212) 861-1400
(631) 953-0019
Mailing address
950 PARK AVE, NEW YORK, NY 10028-0320
(212) 861-1400
(631) 953-0019

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
170248
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01501720
NY
Enumeration date
06/06/2006
Last updated
02/05/2015
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