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1073931069
FIZZAH IDREES-IQBAL
RIVERHEAD, NY
NPI
1073931069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 017477)
Enumeration Date
2014-04-07
Last Update Date
2021-04-01
Business Address
MS. FIZZAH IDREES-IQBAL
1279 E MAIN ST
RIVERHEAD, NY 11901-2583
Phone number: 631-727-2100
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Mailing Address
MS. FIZZAH IDREES-IQBAL
1279 E MAIN ST
RIVERHEAD, NY 11901-2583
Phone number: 631-727-2100
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