Individual
AWAIS MAQSOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 STATION PLAZA N, SUITE 305, MINEOLA, NY 11501
(516) 663-4798
Mailing address
222 STATION PLAZA N, SUITE 305, MINEOLA, NY 11501
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
N007408
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N007408
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/30/2021
Last updated
08/15/2024
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