Individual
IQRA AZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2127 CROMPOND RD STE 101, CORTLANDT MANOR, NY 10567-4328
(914) 737-2020
(914) 737-5436
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009643
NY
152W00000X
Optometrist
27OA00715600
NJ
Other
Enumeration date
08/18/2022
Last updated
12/01/2023
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