Individual
DR. MARIAM VAEZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 HALPERIN AVE, BRONX, NY 10461-2630
(718) 583-7736
Mailing address
2626 HALPERIN AVE, BRONX, NY 10461-2631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
60011312
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
60011312
NY
Other
Enumeration date
04/17/2020
Last updated
11/01/2025
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