Individual
DR. AZRA TABASSUM WASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
834 CONEY ISLAND AVE, BROOKLYN, NY 11218-5310
(718) 859-5171
(718) 421-6528
Mailing address
2417 OCEAN PKWY FL 2, BROOKLYN, NY 11235-6110
(718) 934-6618
(718) 934-3711
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
189994
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03157804
—
NY
Enumeration date
01/25/2007
Last updated
07/09/2007
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