Provider Demographics
NPI:1366726093
Name:AZIZ, CHRISTINE S (LAC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:S
Last Name:AZIZ
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
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Mailing Address - Street 1:292 RIVERVIEW ROAD
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:10533-1322
Mailing Address - Country:US
Mailing Address - Phone:646-543-9057
Mailing Address - Fax:302-313-1637
Practice Address - Street 1:145 PALISADE STREET
Practice Address - Street 2:SUITE 217
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1617
Practice Address - Country:US
Practice Address - Phone:646-543-9057
Practice Address - Fax:302-313-1637
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-29
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY004595-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist