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NPI Code Detail

MEDICARE: MARSELE AZIZ-MASSAKA

MEDICARE:   MARSELE  AZIZ-MASSAKA
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
1183500000XPharmacist046513NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780861773
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSELE AZIZ-MASSAKA
Provider Business Mailing Address
First Line : 225 W 230TH ST
Second Line :
City : BRONX
State : NY
Zip : 10463-5201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 225 W 230TH ST
Second Line :
City : BRONX
State : NY
Zip : 10463-5201
Country : US
Telephone Number : 718-548-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2008
Last Update Date : 01/22/2008

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Directions to “ MARSELE AZIZ-MASSAKA ” Practice Location

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