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NPI Code Detail

MEDICARE: DR. ASMA ASLAM EJAZ M.D.

MEDICARE: DR. ASMA ASLAM EJAZ 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
12084P0800XPsychiatry Physician160788NY

General Provider Information

NPI Number : 1841259892
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASMA ASLAM EJAZ M.D.
Provider Business Mailing Address
First Line : 97 STERLING CT
Second Line :
City : MUTTONTOWN
State : NY
Zip : 11791-2419
Country : US
Telephone Number : 516-884-2500
Fax Number :
Provider Business Practice Location Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3510
Country : US
Telephone Number : 516-822-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 04/02/2012

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