MOHAMMAD O AZAM

MINEOLA, NY
NPI1669626024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  012399)
Enumeration Date2008-11-12
Last Update Date2022-08-09
Business Address
MOHAMMAD O AZAM PA
120 MINEOLA BLVD STE 330
MINEOLA, NY 11501-4077
Phone number: 516-663-8850
Mailing Address
MOHAMMAD O AZAM PA
10 E MERRICK RD SUITE 207
VALLEY STREAM, NY 11580-5800
Phone number: 516-256-2017
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