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NPI Code Detail

MEDICARE: MS. AZIMAH PILUS EHR M.D.

MEDICARE:  MS. AZIMAH PILUS EHR  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician141003NY

General Provider Information

NPI Number : 1194939819
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AZIMAH PILUS EHR M.D.
Provider Business Mailing Address
First Line : 330 W 34TH ST
Second Line : FL 15
City : NEW YORK
State : NY
Zip : 10001-2406
Country : US
Telephone Number : 212-947-5770
Fax Number :
Provider Business Practice Location Address
First Line : 979 CROSS BRONX EXPRESSWAY SERVICE ROAD NORTH
Second Line :
City : BRONX
State : NY
Zip : 10460-4885
Country : US
Telephone Number : 718-665-7565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 04/21/2017

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