Individual
DR. BASEM NADY AZAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1138 BROADWAY ST, ELMIRA, NY 14904-2502
(607) 734-7982
(607) 734-1953
Mailing address
722 W WATER ST, ELMIRA, NY 14905-2435
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
274207
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03125468
—
NY
Enumeration date
11/26/2008
Last updated
07/20/2015
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