Individual
AMMARA AZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Mailing address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4163
(631) 376-4320
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
05/19/2024
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