Individual
DR. EDMOND AINEHSAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
11129 QUEENS BLVD, FOREST HILLS, NY 11375-5553
(718) 275-8900
Mailing address
6 WOOLEYS LN APT A6, GREAT NECK, NY 11023-2101
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00357900
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N007057
NY
Other
Enumeration date
06/27/2017
Last updated
12/31/2020
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