Azab, Basem Nady

Azab, Basem Nady is an individual health care provider with primary practice located at 1138 Broadway St , Elmira NY 14904-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Azab, Basem Nady can be contacted via phone (607) 734-7982.

Contact Information

Primary practice address
1138 Broadway St Elmira NY 14904-2502
Fax: (607) 734-1953
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 274207 New York

Profile Details

NPI number 1457506867
LBN Legal business name Azab, Basem Nady
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2008
Last updated Jul 20th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457506867 NPPES
New York MEDICAID 03125468

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