Individual
AYESHA AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
102 W SENECA ST, MANLIUS, NY 13104-2480
(315) 682-6600
Mailing address
739 IRVING AVE STE 200, SYRACUSE, NY 13210-1668
(315) 479-5070
(315) 701-2520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
209420
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01627238
—
NY
Enumeration date
06/08/2006
Last updated
12/12/2007
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