Individual
MARIAM RASHIDZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1572
Mailing address
14238 32ND AVE, FLUSHING, NY 11354-2336
(646) 338-2200
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
018200
NY
Other
Enumeration date
11/04/2014
Last updated
11/21/2022
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