Organization
NYCS MID TOWN MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AZIZ MD (CEO)
(917) 699-2525
Entity
Organization
Contact information
Practice address
123 N SEA RD, SOUTHAMPTON, NY 11968-2003
(212) 906-9111
(212) 906-9100
Mailing address
123 N SEA ROAD, P.O BOX 1388, SOUTHAMPTON, NY 11968
(212) 906-9111
(212) 906-9100
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
08/26/2019
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