Individual
MR. ZIAD ELIE ABOUEZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE FIELD CT, POUGHKEEPSIE, NY 12601
(845) 452-5258
(845) 452-4530
Mailing address
1 WEBSTER AVE STE 502, POUGHKEEPSIE, NY 12601-1363
(845) 452-5741
(845) 452-4530
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
210196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01831694
—
NY
01
—
020047566
RAILROAD MEDICARE UNITED1
—
01
—
1004475
CDPHP
NY
01
—
2322067
AETNA
NY
01
—
318484
MVP SELECTCARE INC
—
Enumeration date
01/13/2006
Last updated
11/23/2021
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