Individual
ADEEL AZMAT IQBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
152 NORTH OCEAN AVE., PATCHOGUE, NY 11772
(631) 913-8239
(631) 207-8303
Mailing address
152 NORTH OCEAN AVE., PATCHOGUE, NY 11772
(631) 913-8239
(631) 207-8303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
260863
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A3377144
—
NY
Enumeration date
07/06/2010
Last updated
04/03/2014
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