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Individual

DR. HASSAN AZIZIRAD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8012 JAMAICA AVE, WOODHAVEN, NY 11421-1901
(718) 521-1056
Mailing address
190 SPRAIN RD, SCARSDALE, NY 10583-1236

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
113292
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113292
STATE LICENSE
NY
Enumeration date
04/01/2006
Last updated
07/08/2007
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