Individual provider · Type 1 NPI
Nidha Azam
Medical Physician Assistant · Valley Stream, NY
NPI number
1942730296
Active
Practice location
880 Woodmere Dr
Valley Stream, NY 11581-2736
Fax (347) 794-3385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 020840-1 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1942730296
Nidha Azam's National Provider Identifier is 1942730296, issued on Jun 19, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Valley Stream, NY. The record was last updated on Jun 19, 2017.