Individual
AWAIS IJAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 703-5101
Mailing address
35 PRESIDENTIAL CTS, SYRACUSE, NY 13202-2476
(520) 257-6369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
317641
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2019
Last updated
07/15/2022
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