# DAVID MAHGEREFTEH

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

## Provider details

- **NPI number:** 1831376219
- **Authorized official:** DAVID MAHGEREFTEH (OWNER)
- **Authorized official phone:** (718) 997-9633

## Contact information

- **Practice address:** 9909 67TH AVE, REGO PARK, NY 11374-4513
- **Practice address phone:** (718) 997-9633
- **Mailing address:** 9909 67TH AVE, REGO PARK, NY 11374-4513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | N004574 | NY | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 01/28/2008