Individual
MARYA GHAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 GUSTAVE L LEVY PL FL 12, NEW YORK, NY 10029-6574
(212) 241-6500
Mailing address
1 GUSTAVE L LEVY PL FL 12, NEW YORK, NY 10029-6574
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1538740204
MA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
342749
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2021
Last updated
05/11/2026
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