Individual
AMIRHOSSEIN MODABBERNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1230, NEW YORK, NY 10029-6504
(212) 659-9100
Mailing address
1 GUSTAVE L LEVY PL, BETWEEN PARK AND MADISON AVENU, NEW YORK, NY 10029-6504
(646) 942-2666
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
306617
NY
Other
Enumeration date
03/24/2016
Last updated
06/14/2021
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