Individual provider · Type 1 NPI

Wahidullah Niazmand, PA

Surgical Physician Assistant · Flushing, NY

NPI number 1720521925 Active

Practice location

5645 Main St
Flushing, NY 11355-5045

Call (347) 425-6475 Map

Mailing address

60 Birchwood Dr W
Valley Stream, NY 11580-1940

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X020188-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1720521925

Wahidullah Niazmand, PA's National Provider Identifier is 1720521925, issued on Nov 21, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Flushing, NY. The record was last updated on Jul 7, 2023.