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Organization
DIPLOMATE MEDICAL CARE, PLLC
Active
Organization
DIPLOMATE MEDICAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MEHDI ZAFARNIA (OWNER)
(631) 575-6430
Entity
Organization
Contact information
Practice address
14 WASHINGTON AVE, SUITE 2, BRENTWOOD, NY 11717-3247
(631) 575-6430
(631) 617-5576
Mailing address
14 WASHINGTON AVE, SUITE 2, BRENTWOOD, NY 11717-3247
(631) 575-6430
(631) 617-5576
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
495578
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
495578
THE JOINT COMMISSION
NY
Enumeration date
05/06/2010
Last updated
05/08/2010
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