Elemam, Azza
Elemam, Azza is an individual health care provider with primary practice located at 682 Forest Ave , Staten Island NY 10310-2507. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Elemam, Azza can be contacted via phone (718) 370-3730.Contact Information
Primary practice address
682 Forest Ave
Staten Island NY 10310-2507
Phone: (718) 370-3730
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 253663 | New York |
Profile Details
| NPI number | 1992933519 |
|---|---|
| LBN Legal business name | Elemam, Azza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2009 |
| Last updated | Dec 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992933519 | NPPES |
| Indiana | MEDICAID | 200972670 | |
| Indiana | MEDICAID | 7100082840 |
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