Individual
FARZIN RAHMANOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2263
(516) 674-7300
Mailing address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2263
(516) 674-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
257209
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
257209
NY
207RP1001X
Pulmonary Disease Physician
257209
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02008222A
STATE LICENSE
IN
01
—
10229235
STATE LICENSE
VA
01
—
257209
STATE LICENSE
NY
01
—
34.017631
STATE LICENSE
OH
01
—
4578
STATE LICENSE
WV
01
—
H0102751
STATE LICENSE
MD
01
—
OS024547
STATE LICENSE
PA
Enumeration date
08/27/2008
Last updated
03/21/2026
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