| Aziz A Soomro Physician Pc | |
|
1 S Greeley Ave Suite 302 Chappaqua NY 10514-3346 | |
| (914) 238-1699 | |
| (914) 238-1695 |
| Full Name | Aziz A Soomro Physician Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1 S Greeley Ave, Chappaqua, New York |
| Authorized Official Name and Position | Aziz Ahmed Soomro (PRESIDENT) |
| Authorized Official Contact | 9142381695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aziz A Soomro Physician Pc 1 S Greeley Ave Suite 302 Chappaqua NY 10514-3346 Ph: (914) 238-1699 | Aziz A Soomro Physician Pc 1 S Greeley Ave Suite 302 Chappaqua NY 10514-3346 Ph: (914) 238-1699 |
| NPI Number | 1477850790 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 04/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477850790 | NPI | - | NPPES |
| 02951646 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 246617 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 246617 (New York) | Primary |
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