Individual
ASLAM AZIZ JIVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8812 QUEENS BLVD STE 1, ELMHURST, NY 11373-4489
(718) 280-9680
(718) 899-3300
Mailing address
34 PATTON BLVD, NEW HYDE PARK, NY 11040-1731
(917) 826-0886
(718) 899-3300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
216241
NY
207RP1001X
Pulmonary Disease Physician
Primary
216241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02053029
—
NY
Enumeration date
08/10/2006
Last updated
06/04/2025
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