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1669626024
MOHAMMAD O AZAM
MINEOLA, NY
NPI
1669626024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NY 012399)
Enumeration Date
2008-11-12
Last Update Date
2022-08-09
Business Address
MOHAMMAD O AZAM PA
120 MINEOLA BLVD STE 330
MINEOLA, NY 11501-4077
Phone number: 516-663-8850
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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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