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
Phone: (718) 343-7790
Fax: (718) 206-1289
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639156169 | NPPES |
| New York | MEDICAID | 01811930 |
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