Individual
DR. FAISAL AIWZALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1701 SUNRISE HWY, BAY SHORE, NY 11706-6091
(631) 614-2020
Mailing address
33 W 42ND ST, NEW YORK, NY 10036-8005
(212) 938-4000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
011086
NY
Other
Enumeration date
09/17/2024
Last updated
09/18/2024
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