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Individual

DR. RABIA RIZWANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1101 ERIE BLVD E, SUITE 204, SYRACUSE, NY 13210-1148
(315) 472-9554
(315) 472-9553
Mailing address
1101 ERIE BLVD E, SUITE 204, SYRACUSE, NY 13210-1148
(315) 472-9554
(315) 472-9553

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
252652
NY
2084N0600X
Clinical Neurophysiology Physician
252652
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03117219
NY
Enumeration date
08/15/2008
Last updated
02/12/2011
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