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Organization
BEHROUZ FARAHMANDPOUR D.O.P.C.
Active
Organization
BEHROUZ FARAHMANDPOUR D.O.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEHROUZ FARAHMANDPOUR DO (OWNER)
(516) 524-2213
Entity
Organization
Contact information
Practice address
25 MELVILLE PARK RD STE 200B, MELVILLE, NY 11747-3156
(631) 888-5957
(631) 940-5837
Mailing address
30 HAIGHT ST, DEER PARK, NY 11729-3135
(516) 524-2213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
233446
NY
261QP2300X
Primary Care Clinic/Center
233446
NY
Other
Enumeration date
07/09/2014
Last updated
07/01/2025
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