Izad, Arezu N

Izad, Arezu N is an sole proprietor health care provider with primary practice located at 26701 Hillside Ave , Floral Park NY 11004-1743. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Izad, Arezu N can be contacted via phone (718) 343-7790.

Contact Information

Primary practice address
26701 Hillside Ave Floral Park NY 11004-1743
Fax: (718) 206-1289
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004578 New York

Profile Details

NPI number 1639156169
LBN Legal business name Izad, Arezu N
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2005
Last updated Aug 1st, 2011 - about 13 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 1639156169 NPPES
New York MEDICAID 01811930

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