Individual
SHAZIA N ALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4761
(516) 562-1521
Mailing address
972 BRUSH HOLLOW RD, 4TH FLOOR, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-5539
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010141
NY
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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