Mariam Imtiaz
Student in an Organized Health Care Education/Training Program in Binghamton, NY. Individual provider (NPI-1).
NPI number1104747732
StatusActive
Last updated in NPPESSep 17, 2026
Details
- NPI
- 1104747732
- Entity type
- Individual (NPI-1)
- Name
- Mariam Imtiaz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 21, 2026
- Certification date
- Sep 17, 2026
- Last updated
- Sep 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
10-42 Mitchell AveBinghamton, NY 13903-1617
Phone 672-975-6180
Mailing address
10-42 Mitchell AveBinghamton, NY 13903-1678
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