Organization
AZRA T WASTI PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZRA TABASSUM WASTI M.D. (OWNER)
(718) 859-5171
Entity
Organization
Contact information
Practice address
834 CONEY ISLAND AVE, BROOKLYN, NY 11218-5310
(718) 859-5171
(718) 469-0111
Mailing address
834 CONEY ISLAND AVE, BROOKLYN, NY 11218-5310
(718) 859-5171
(718) 469-0111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
189994
NY
Other
Enumeration date
01/24/2007
Last updated
05/09/2013
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