Individual
ZISA OYEAMA AZIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2261 CHURCH AVE, BROOKLYN, NY 11226-6486
(347) 256-4944
Mailing address
518 W 159TH ST APT 5F, NEW YORK, NY 10032-6966
(347) 256-4944
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P2238
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NYCPS-P-2238
—
NY
Enumeration date
06/16/2022
Last updated
08/18/2023
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