Individual
FAYEZ AZIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1659 RICHMOND AVE, STATEN ISLAND, NY 10314-1570
(718) 983-6300
Mailing address
386 WOOLLEY AVE, STATEN ISLAND, NY 10314-2154
(718) 494-7883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042457-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01468937
—
NY
Enumeration date
05/29/2007
Last updated
12/30/2013
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