Individual
DR. ALIREZA SHIRVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
287 NORTHERN BLVD STE 108, GREAT NECK, NY 11021-4717
(516) 418-6942
(516) 407-5498
Mailing address
33 HOFSTRA DR, PLAINVIEW, NY 11803-1814
(516) 418-7942
(516) 407-5498
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
270376
NY
208M00000X
Hospitalist Physician
Primary
270376
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03716676
—
NY
Enumeration date
08/08/2008
Last updated
06/13/2024
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