person
Nidha Azam
Medical Physician Assistant in Valley Stream, New York
NPI 1942730296

Nidha Azam is a Medical Physician Assistant based in Valley Stream, NY and is specialized in Medical. Nidha Azam practices in Valley Stream, NY. The NPI Number for Nidha Azam is 1942730296 and holds a License No. 020840-1 (New York).

The current practice location address for Nidha Azam is 880 Woodmere Dr, Valley Stream, NY and can be reached out via phone at 347-794-3385 and via fax at 347-794-3385.

Location: 880 Woodmere Dr, Valley Stream, NY, 11581-2736
person
Provider Profile Details
NPI Number
1942730296
Provider Name
Nidha Azam
Credential
Provider Entity Type
Individual
Gender
Female
Address
880 Woodmere Dr, Valley Stream, NY, 11581-2736
Phone Number
347-794-3385
Fax Number
347-794-3385
Provider Enumeration Date
06/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
880 Woodmere Dr
City
State
Zip
11581-2736
Phone Number
347-794-3385
Fax Number
347-794-3385
person
Provider Business Mailing Address Details
Address
880 Woodmere Dr
City
State
Zip
11581-2736
Phone Number
347-794-3385
Fax Number
347-794-3385
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
020840-1 (New York)
Definition
Definition to come...
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