Organization
KB MEDICAL PRACTICE PC
Active
Organization
KB MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAHIMEH SASAN DO (FOUNDING OBGYN)
(855) 563-2639
Entity
Organization
Contact information
Practice address
120 5TH AVE FL 5, NEW YORK, NY 10011-5638
(855) 563-2639
Mailing address
120 5TH AVE FL 5, NEW YORK, NY 10011-5638
(855) 563-2639
(646) 905-0987
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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