Organization
RIVERSIDE SURGERY & BREASTCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIUSH VAZIRI MD (PHYSICIAN)
(607) 798-0706
Entity
Organization
Contact information
Practice address
355 RIVERSIDE DR, JOHNSON CITY, NY 13790-2708
(607) 798-0706
Mailing address
355 RIVERSIDE DR, JOHNSON CITY, NY 13790-2708
(607) 798-0706
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
08/22/2020
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