# CARING LONG ISLAND MEDICAL P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407295108
- **Authorized official:** KOUROSH ASHOURZADEH D.O. (PRESIDENT)
- **Authorized official phone:** (516) 796-4433

## Contact information

- **Practice address:** 90 WILDWOOD RD, GREAT NECK, NY 11024-1223
- **Practice address phone:** (516) 796-4433
- **Practice address fax:** (516) 796-4288
- **Mailing address:** 90 WILDWOOD RD, GREAT NECK, NY 11024-1223
- **Mailing address phone:** (516) 796-4433
- **Mailing address fax:** (516) 796-4288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | 187333 | NY | Yes |

## Other

- **Enumeration date:** 06/17/2013
- **Last updated:** 06/17/2013