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Dr. Mazda Alaie, D.P.M

in Bronx, NY. Individual provider (NPI-1).

NPI number1174611164
StatusActive
Last updated in NPPESMay 24, 2016

Details

NPI
1174611164
Entity type
Individual (NPI-1)
Name
Dr. Mazda Alaie
Credential
D.P.M
Sex
Male
Sole proprietor
No
Enumeration date
Oct 11, 2006
Last updated
May 24, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0131X N005394NYYes

Practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Phone 718-299-7295 · Fax 718-299-6797

Mailing address

3198 Grand Concourse
Bronx, NY 10458-1000

Phone 718-618-0401 · Fax 718-795-4394

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