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Fawzia Shirzad

Physician Assistant in Jamaica, NY. Individual provider (NPI-1).

NPI number1942908033
StatusActive
Last updated in NPPESFeb 20, 2023

Details

NPI
1942908033
Entity type
Individual (NPI-1)
Name
Fawzia Shirzad
Sex
Female
Sole proprietor
No
Enumeration date
Feb 20, 2023
Certification date
Feb 18, 2023
Last updated
Feb 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant–NYYes

Practice location

9420 Guy R Brewer Blvd
Jamaica, NY 11451-0001

Phone 718-262-2000

Mailing address

9420 Guy R Brewer Blvd
Jamaica, NY 11451-0001

Phone 718-262-2000

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