Organization
LONG ISLAND KIDNEY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHSEN PAHLAVAN MD (OWNER)
(516) 261-9988
Entity
Organization
Contact information
Practice address
901 STEWART AVE STE 204, GARDEN CITY, NY 11530-4883
(516) 261-9988
(516) 612-0071
Mailing address
3 BEECH TREE LN, GLEN HEAD, NY 11545-3150
(516) 261-9988
(516) 612-0071
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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