Individual
JULIUS BAZAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
165 N VILLAGE AVE, STE 129, ROCKVILLE CENTRE, NY 11570-3761
(516) 678-4040
(516) 678-0564
Mailing address
165 N VILLAGE AVE, STE 129, ROCKVILLE CENTRE, NY 11570-3761
(516) 678-4040
(516) 678-0564
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
160445
NY
Other
Enumeration date
12/01/2005
Last updated
07/08/2007
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