Individual provider · Type 1 NPI

Mariam Imtiaz

Student in an Organized Health Care Education/Training Program · Binghamton, NY

NPI number 1104747732 Active

Practice location

10-42 Mitchell Ave
Binghamton, NY 13903-1617

Call (672) 975-6180 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104747732

Mariam Imtiaz's National Provider Identifier is 1104747732, issued on Jul 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Binghamton, NY. The record was last updated on Sep 17, 2026.