Fizzah Idrees
Physician Assistant in Riverhead, NY. Individual provider (NPI-1).
NPI number1073931069
StatusActive
Last updated in NPPESDec 3, 2024
Details
- NPI
- 1073931069
- Entity type
- Individual (NPI-1)
- Name
- Ms. Fizzah Idrees
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2014
- Certification date
- Dec 3, 2024
- Last updated
- Dec 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 017477 | NY | Yes |
Other names
- Fizzah Idrees-Iqbal (Former Name)
Practice location
1279 E Main StRiverhead, NY 11901-2583
Phone 631-727-2100
Mailing address
1279 E Main StRiverhead, NY 11901-2583
Phone 631-727-2100
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All 52 Physician Assistant providers in Riverhead · All 1,248 providers in Riverhead
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