person
Mohammad O Azam, PA
Medical Physician Assistant in Mineola, New York
NPI 1669626024

Mohammad O Azam is a Medical Physician Assistant based in Valley Stream, NY and is specialized in Medical. Mohammad O Azam practices in Mineola, NY and has the professional credentials of PA. The NPI Number for Mohammad O Azam is 1669626024 and holds a License No. 012399 (New York).

The current practice location address for Mohammad O Azam is 120 Mineola Blvd Ste 330, Mineola, NY and can be reached out via phone at 516-663-8850.

Location: 120 Mineola Blvd Ste 330, Mineola, NY, 11580-5800
person
Provider Profile Details
NPI Number
1669626024
Provider Name
Mohammad O Azam
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
120 Mineola Blvd Ste 330, Mineola, NY, 11580-5800
Phone Number
516-663-8850
Fax Number
Provider Enumeration Date
11/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 Mineola Blvd Ste 330
City
State
Zip
11501-4077
Phone Number
516-663-8850
Fax Number
person
Provider Business Mailing Address Details
Address
120 Mineola Blvd Ste 330
City
State
Zip
11501-4077
Phone Number
516-663-8850
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
012399 (New York)
Definition
Definition to come...
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