Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 285722 | NY |
NPI | 1043501232 |
---|---|
Provider Name | Anam Azeem |
First Address | New York, NY 10023-7524 |
Second Address | New York, NY 10003-4243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2011 |
Last Update Date | 09/06/2020 |