Individual provider · Type 1 NPI

Jacob Zachariah Azzawi, DPM

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

NPI number 1881380111 Active

Practice location

120 Hobart St
Utica, NY 13501-4308

Call (315) 798-1149 Map

Fax (315) 801-3565

Mailing address

111 Hospital Dr
Utica, NY 13502-2517

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000XSC007453 (PA)
Podiatrist 213E00000X007462 (NY)
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 1881380111

Jacob Zachariah Azzawi, DPM's National Provider Identifier is 1881380111, issued on Apr 11, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Utica, NY. The record was last updated on Apr 7, 2026.