Individual
DR. MEITAL BARZIDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(516) 519-1953
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(516) 519-1953
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
263975
NY
Other
Enumeration date
03/24/2010
Last updated
12/23/2020
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