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 |