Individual
SHOIB AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 LAKE ST, NEWBURGH, NY 12550-5243
(845) 565-8022
Mailing address
2 COATES DR, GOSHEN, NY 10924-6758
(845) 651-1400
(845) 651-1512
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RN0300X
Nephrology Physician
Primary
196794
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400054920
MEDICARE
—
Enumeration date
05/12/2006
Last updated
10/03/2012
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