Individual
DR. AZZA ELEMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
682 FOREST AVE, STATEN ISLAND, NY 10310-2507
(718) 370-3730
Mailing address
682 FOREST AVE, STATEN ISLAND, NY 10310-2507
(718) 370-3730
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
253663
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200972670
—
IN
05
—
7100082840
—
KY
Enumeration date
06/23/2009
Last updated
12/31/2015
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