Individual
DR. LEILA MARIAM VAEZAZIZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
260 E 161ST ST # C-33, BRONX, NY 10451-3512
(718) 993-3397
Mailing address
260 E 161ST ST # C-33, BRONX, NY 10451-3512
(718) 993-3397
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
2667
NY
Other
Enumeration date
06/15/2012
Last updated
06/15/2020
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