Individual
DR. FARNOUSH SHAHKOHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
14 MORRIS LN, GREAT NECK, NY 11024-1707
(516) 707-5145
(347) 887-5000
Mailing address
14 MORRIS LN, GREAT NECK, NY 11024-1707
(516) 707-5145
(347) 887-5000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV56006926
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02707091
—
NY
Enumeration date
12/06/2005
Last updated
04/15/2015
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