Individual
ALI TAREQ JALEEL AL-AZZAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(713) 512-7222
Mailing address
750 E ADAMS ST, JH308, SYRACUSE, NY 13210-1834
(315) 464-5820
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
10/10/2025
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