Organization
GREAT HEALTH MEDICAL IOWA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZLAN TARIQ (OWNER)
(212) 734-6621
Entity
Organization
Contact information
Practice address
407 WILLOUGHBY AVE, BROOKLYN, NY 11205-4590
(212) 201-1252
Mailing address
407 WILLOUGHBY AVE, BROOKLYN, NY 11205-4590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
12/29/2025
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