Individual
ALI AZZAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1507
Mailing address
4540 CENTER BLVD APT 1910, LONG ISLAND CITY, NY 11109-5808
(718) 670-1507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101276694
VA
207R00000X
Internal Medicine Physician
35.146387
OH
Other
Enumeration date
05/24/2019
Last updated
12/19/2023
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