Individual
DANIEL AZOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6118 188TH ST, FRESH MEADOWS, NY 11365-2713
(718) 489-5003
Mailing address
6118 188TH ST, FRESH MEADOWS, NY 11365-2713
(718) 489-5003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
313257
NY
Other
Enumeration date
09/08/2009
Last updated
08/04/2023
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