Organization
AZ MEDICAL SERVICES PC
Active
Organization
AZ MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZERGABACHEW ASFAW MD (OWNER)
(718) 548-1569
Entity
Organization
Contact information
Practice address
3965 SEDGWICK AVE, 1F, BRONX, NY 10463-3111
(718) 548-1569
(718) 548-2480
Mailing address
107 OVERLOOK RD, POMONA, NY 10970-2118
(718) 548-1569
(718) 548-2480
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
205328
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01883063
—
NY
Enumeration date
04/24/2012
Last updated
06/20/2012
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