Individual
MRS. AMAL IMIL AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
985 RICHMOND AVE, STATEN ISLAND, NY 10314-1501
(718) 982-8615
(718) 982-8633
Mailing address
13 SCENIC DR, DAYTON, NJ 08810-1492
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
047676
NY
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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