# BEHROUZ FARAHMANDPOUR D.O.P.C.

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

## Provider details

- **NPI number:** 1750797890
- **Authorized official:** BEHROUZ FARAHMANDPOUR DO (OWNER)
- **Authorized official phone:** (516) 524-2213

## Contact information

- **Practice address:** 25 MELVILLE PARK RD STE 200B, MELVILLE, NY 11747-3156
- **Practice address phone:** (631) 888-5957
- **Practice address fax:** (631) 940-5837
- **Mailing address:** 30 HAIGHT ST, DEER PARK, NY 11729-3135
- **Mailing address phone:** (516) 524-2213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | 233446 | NY | Yes |
| 261QP2300X | Primary Care Clinic/Center | 233446 | NY | — |

## Other

- **Enumeration date:** 07/09/2014
- **Last updated:** 07/01/2025