Provider Demographics
NPI:1003604927
Name:AZZOUZI, JULIAN IOSBAKER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:IOSBAKER
Last Name:AZZOUZI
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:656 HENRY ST APT 3L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-2639
Mailing Address - Country:US
Mailing Address - Phone:651-431-8719
Mailing Address - Fax:
Practice Address - Street 1:75 DEKALB AVE # LB20
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5423
Practice Address - Country:US
Practice Address - Phone:651-431-8719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0724281835I0206X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835I0206XPharmacy Service ProvidersPharmacistInfectious Diseases