Individual
IJAZ AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
47 PLAZA ST W STE 1B, BROOKLYN, NY 11217-3905
(718) 789-4332
(718) 857-8498
Mailing address
70 OLD WESTBURY RD, OLD WESTBURY, NY 11568-1611
(718) 395-6444
(718) 676-9557
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
247775-1
NY
207UN0901X
Nuclear Cardiology Physician
247775-1
NY
Other
Enumeration date
10/19/2005
Last updated
09/04/2024
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