Organization
AZIZ A SOOMRO PHYSICIAN PC
Active
Other names
Chappaqua Behavioral Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZIZ AHMED SOOMRO MD (PRESIDENT)
(914) 238-1695
Entity
Organization
Contact information
Practice address
1 S GREELEY AVE, SUITE 302, CHAPPAQUA, NY 10514-3346
(914) 238-1699
(914) 238-1695
Mailing address
1 S GREELEY AVE, SUITE 302, CHAPPAQUA, NY 10514-3346
(914) 238-1699
(914) 238-1695
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
246617
NY
2084P0804X
Child & Adolescent Psychiatry Physician
246617
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02951646
—
NY
Enumeration date
02/23/2011
Last updated
04/09/2012
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