Individual
HABIB NAZARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23520 147TH AVE, ROSEDALE, NY 11422-3293
(718) 712-2200
(718) 712-5666
Mailing address
8 PARK DR E, OLD WESTBURY, NY 11568-1125
(516) 626-6222
(718) 712-5666
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
142782
NY
2080P0202X
Pediatric Cardiology Physician
142782
NY
Other
Enumeration date
07/12/2005
Last updated
12/08/2011
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