Individual provider · Type 1 NPI
Michelle Azizi, PA
Surgical Physician Assistant · Bronx, NY
NPI number
1508470055
Active
Practice location
111 E 210th St
Bronx, NY 10467-2401
Mailing address
75 Kingfisher Rd
Levittown, NY 11756-2145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1508470055
Michelle Azizi, PA's National Provider Identifier is 1508470055, issued on Sep 2, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Sep 2, 2020.