Most Relevant Information
Provider Data
NPI Number: | 1003558115 |
Provider Name: | MUNMUN AZIZ MD |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 04/09/2022 |
Last Updated: | 04/09/2022 |
Provider Practice Location
1000 MONTAUK HWY
WEST ISLIP
NY
117954927
Practice Location Phone/Fax
Phone: | 9293405665 |
Fax: | 6313763420 |
Provider Mailing Location
1000 MONTAUK HWY
WEST ISLIP
NY
117954927
Provider Mailing Phone/Fax
Phone: | |
Fax: | 6313763420 |