Individual
HOOMAN KHORASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
135 5TH AVE FL 3, NEW YORK, NY 10010-7158
(212) 230-3378
(332) 777-1113
Mailing address
135 5TH AVE FL 3, NEW YORK, NY 10010-7158
(212) 230-3378
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A95678485
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
257283
NY
207NS0135X
Procedural Dermatology Physician
257283
NY
Other
Enumeration date
06/09/2008
Last updated
06/06/2024
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