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Organization
HOORBOD DELSHADFAR MEDICAL PC
Active
Organization
HOORBOD DELSHADFAR MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOORBOD DELSHADFAR DO (OWNER/DO)
(631) 775-8605
Entity
Organization
Contact information
Practice address
287 NORTHERN BLVD STE 108, GREAT NECK, NY 11021-4717
(516) 482-0500
Mailing address
5 GRENWOLDE DR, GREAT NECK, NY 11024-1616
(516) 482-0500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
244818
NY
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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